What is the nurse expect the physician?

People who have diabetes may be prescribed the medicine called Glipizide. The person would take the medicine by way of their mouth. This medicine helps with insulin. Your pancreas secretes insulin that your body needs. The blood sugar levels should be normal.

If they are not, then something needs to be done to get those levels back to normal. Glipizide is a medicine also known as Glucotrol. If a client is taking this medication for at least nine months, the patient should be experiencing changes for the better.

If the patient isn’t, then the nurse or doctor should switch the client to another medicine that is geared to helping and treating diabetes but can still be taken orally because his body may not like Glipizide.

Switch the client to a different oral antidiabetic agent.-rationale: the nurse should anticipate that the physician will order a different oral antidiabetic agent. many clients (25% to 60%) with secondary failure who take glipizide respond to a different oral antidiabetic agent. therefore, it wouldnt be appropriate to initiate insulin therapy at this time. however, if a new oral antidiabetic agent is unsuccessful in keeping glucose levels at an acceptable level, insulin may be used in addition to the antidiabetic agent. restricting carbohydrate intake isnt necessary. client needs category: physiological integrity client needs subcategory: pharmacological and parenteral therapies cognitive level: knowledge reference: smeltzer, s.c., et al. brunner and suddarths textbook of medical surgical-nursing,11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1398.