Sulfonylureus

1. When dispensing a sulfonylurea, especially for the first time, it is always a good idea to ensure the person understands this class of medicine can cause hypoglycaemia.

A) True

B) False

Correct! Wrong!

2. Mr Ramsey has recently been diagnosed with type 2 diabetes and started on both metformin MR 1000mg (one tablet twice a day) and gliclazide MR 60mg (one tablet in the morning). He is taking both with his breakfast. His doctor has told him he needs both tablets due to how elevated his glucose levels were at diagnosis. Mr Ramsey has noticed a rash on his stomach after being at the beach on the weekend. It is itchy and slightly raised. Two days of antihistamine tablets does not seem to have made much of a difference. Which scenario best describes your course of action as the pharmacist today.

A) Give Mr Ramsey a cortisone cream, tell him to continue with the antihistamine tablets and follow up with his GP in 24-48 hours if the rash has not resolved.

B) You suspect the rash may be an allergic reaction to gliclazide, especially when on further investigation Mr Ramsey discloses, he has a sulphur allergy. Ask him to stop taking the gliclazide and refer him immediately back to his GP. Log the intervention using the Electronic Intervention Log @ Pharmacy Diabetes.

C) Give Mr Ramsey a stronger antihistamine.

D) Tell Mr Ramsey it is probably a heat rash, and it will go away in time.

Correct! Wrong!

3. Mrs Black is a regular customer who has type 2 diabetes and has come in to pick up her Webster pack today, which includes glibenclamide. She is normally bright and talkative but today she is very quiet, shaky, and sweating even though it is not hot outside. After a few minutes you realise her glucose level is low since she was late to eat her lunch. The best action to take is:

A) Ring 000

B) Get her a hot drink with plenty of sugar in it. Follow this up with some information about hypoglycaemia and a referral to a health care professional if you feel this is appropriate. Log the treatment intervention on Pharmacy Diabetes Platform.

C) Give her 6-7 jellybeans followed by longer acting carbohydrate snack, such as half a sandwich or a piece of fruit. Follow this up with some information about hypoglycaemia and a referral to a healthcare professional if you feel this is appropriate. Log the intervention using the Electronic Intervention Log @ Pharmacy Diabetes.

D) Give her some chocolate. Follow this up with some information about hypoglycaemia and a referral to a health care professional if you feel this is appropriate. Log the intervention using the Electronic Intervention Log @ Pharmacy Diabetes.

Correct! Wrong!

Sulfonylureus

1. When dispensing a sulfonylurea, especially for the first time, it is always a good idea to ensure the person understands this class of medicine can cause hypoglycaemia.

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