Hypercholesterolemia: Advise patient that this medication should be used in conjunction with diet restrictions (fat, cholesterol, carbohydrates, alcohol), exercise, and cessation of smoking.
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Patients should be instructed to promptly discontinue colesevelam and notify health care professional if severe abdominal pain or severe constipation or symptoms of acute pancreatitis (severe abdominal pain with or without nausea and vomiting) occur.
For oral suspension, empty the entire contents of one packet into a glass or cup. Colesevelam should be taken with a liquid. Oral: Administer once or twice daily with meals.Patients stabilized on a diabetic regimen who are exposed to stress, fever, trauma, infection, or surgery may require administration of insulin.Potential Nursing DiagnosesConstipation (Side Effects) Monitor serum glucose and glycosylated hemoglobin periodically during therapy in patients with diabetes.
Lab Test Considerations: Monitor serum total cholesterol, LDL, and triglyceride levels before initiating, 4–6 wk after starting, and periodically during therapy.Type 2 Diabetes: Observe patient for signs and symptoms of hypoglycemic reactions (sweating, hunger, weakness, dizziness, tremor, tachycardia, anxiety).Hypercholesterolemia: Obtain a diet history, especially in regard to fat consumption.Granules for oral suspension: 1.875 g/packet (contains 13.5 mg phenylalanine), 3.75 g/packet (contains 27 mg phenylalanine) Nursing implications Nursing assessment
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