NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Trade Name Classification Dose Route Time/frequency

Name Novolog Anti diabetics, Sliding scale SQ PRN
Insulin aspart hormones

Peak Onset Duration Normal dosage range

1-3 hours 15 min 3-5 hours Depends on blood glucose, 0.5-1 unit/kg/day

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
DMII N/A

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered)
Lower blood glucose by stimulating glucose uptake in skeletal
muscle and fat, inhibiting hepatic glucose production. Indicated in
tx of diabetes mellitus.
Contraindications/warnings/interactions
Hypoglycemia or allergy to type of insulin or preservatives,
Use cautiously in times of stress or infection
Common side effects
lipodystrophy

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
none
Nursing Process- Assessment
(Pre-administration assessment)
Assess for s/s of hyper and hypo glycemia
Lab value alterations caused by medicine
May cause decreased serum inorganic phosphate, magnesium, and
potassium levels.
Be sure to teach the patient the following about this
medication
Instruct pt and family on administration technique. Explain that this
controls hyperglycemia, but does not cure diabetes. Instruct pt in proper
testing of blood sugar and ketones. Emphasise the importance of diet and
regular exercise. Instruct pt on signs and symptoms of hypoglycemia.
Diabetics should carry a source of sugar incase this happens. This is a
rapid acting insulin so the pt needs to eat as soon as possible after
administration.
Assessment Evaluation
Why would you hold or not give this Check after giving
med? Control of blood glucose levels
If blood sugar is less than 100