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Metrormin (Glugophage)
Metrormin (Glugophage)
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Type II Diabetes N/A
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May cause false-positive results for urine ketones
Furosemide may increase the effects of metformin
Be sure to teach the patient the following about this
medication
Instruct patient to take metformin at the same time each day, as directed.
If a dose is missed, take as soon as possible unless almost time for next
dose. Do not double doses. Explain to patient that metformin helps
control hyperglycemia but does not cure diabetes. Therapy is usually long
term. Encourage patient to follow prescribed diet, medication, and
exercise regimen to prevent hyperglycemic or hypoglycemic episodes.
Review signs of hypoglycemia and hyperglycemia with patient. If
hypoglycemia occurs, advise patient to take a glass of orange juice or 2-3
tsp of sugar, honey, or corn syrup dissolved in water, and notify health
care professional. Emphasize the importance of routine follow-up exams
and regular testing of blood glucose, glycosylated hemoglobin, renal
function, and hematologic parameters.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration Why would you hold or not give Check after giving
assessment) this med? Control of blood glucose levels without the appearance
fingerstick blood glucose If fsbg is less than 100, before or at the of hypoglycemic or hyperglycemic episodes. Control
time of studies requiring IV may be achieved within a few days, but full effect of
administration of iodinated contrast therapy may be delayed for up to 2 wk. If patient has
media and for 48 hr after study not responded to metformin after 4 wk of maximum
dose therapy, an oral sulfonylurea may be added. If
satisfactory results are not obtained with 1-3 months of
concurrent therapy, oral agents may be discontinued
and insulin therapy instituted