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Old 08-26-2006, 07:57 PM   #1 (permalink)
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Default I think I may have increased awareness!

Yay!! I am a nursing student and we just so happen to be studying "antidiabetic" medications. We do some of it online and I made a discussion question and I put "You have a patient that has PCOS secondary to insulin resistance, she is on metformin daily and complains of anorexia, severe diarrhea and flatulence. What interventions or patient teaching is necessary?"... That was just a small recap... I was just excited to be able to mention PCOS... unfortunately the scenario was all but too familiar to me. Just wanted to share my excitement lol.
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Old 08-26-2006, 09:28 PM   #2 (permalink)
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Ooooh, You will have to let us know what answers you get!

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Old 08-26-2006, 10:26 PM   #3 (permalink)
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wow - great idea
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Old 08-28-2006, 05:43 PM   #4 (permalink)
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"In response to your posting Kristina, I found that some side effects
to this drug include diarrhea, anorexia, upset stomach and flatus. It
is said that these side effects are minimal and should subside within
the first week. Her symptoms of the medication should've been
observed before starting the second week of therapy. If before the
second week of therapy the patient is not seeing improvement in
the side effects the medication dosage should not increase. As the
nurse I would notify the physician on the patient’s symptoms, more
than likely he will lower the dosage to 500 mg until the side effects
subside and do not become a bothersome. In the meanwhile, I
would administer the patient’s medication with meals to help reduce
her symptoms of her medication. Since she is experiencing diarrhea,
I would make sure to keep the patient hydrated with fluids and
assess her intake and output along with her daily weight.
Thank you for the question!"

This is the response I've gotten so far! I think she did a great job! Someone else posted that metformin could be used for PCOS in a seperate posting, I guess maybe she didn't read my question lol. I think more responses will flow in!
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Old 08-28-2006, 06:07 PM   #5 (permalink)
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Wow, that's great! You are a gift the the medical field cyster!
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Old 08-28-2006, 08:10 PM   #6 (permalink)
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Wow cool,I think pcos should be more of a known thing!!
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Old 08-28-2006, 10:11 PM   #7 (permalink)
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That was a great answer and a great question
Quote:
anorexia, severe diarrhea
thats exactly what i had for a few MONTHS! When i was at 105lbs and still dropping i told the dr im having a break!!!
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Old 08-28-2006, 11:28 PM   #8 (permalink)
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I had those symptoms for about 2 weeks and then everything subsided. Glad to know that there is someone in the medical field with firsthand knowledge and can help newly diagnosised cysters.
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