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INDEX Generic Name NPH insulin Trade Name Humulin-NPH

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency Antidiabetics hormones 0.5-1 unit/kg Subcut daily

Peak Onset 4-12 hr 1-2 hr Why is your patient taking this medication? Mechanism of action and indications Management of diabetes mellitus Control of blood glucose in diabetic patients

Duration 18-24 hr

For IV meds, compatability with IV drips and/or solutions

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypoglycemia; hypersensitivity; Use cautiously in: Stress; pregnancy; infection Renal/hepatic impairment; geriatric patients

Common side effects Urticaria; Hypoglycemia; lipodystrophy; itching; redness; swelling; allergic reactions

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine medicines (ask patient specifically) Beta blockers; Thiazide diuretics; corticosterioids; diltiazem; dobutamine; thyroid preparations; estrogens; nicotine; protease inhibitor antiretrovirals; rifampin; anabolic steroids; Be sure to teach the patient the following about this medication (testosterone); alcohol; clofibrate; MAO inhibitors; NSAIDS Demonstrate mixing of insulins; proper technique for administration; oral hypoglycemic agents; sulfinpyrazone; tetracyclines; rotation of sites; opened vials dicarded 1 month after opening; rolling vial rather phenylbutazone; warfarin. than shaking; proper testing of glucose levels; exercise; diet; alcohol use; Natural Drugs: Glucosamine; Fenugreek; chromium; drug interactions; signs and symptoms of hypoglycemia and hyperglycemia; coenzyme Q-10 pregnancy; carry a source of sugar; ID braclet; Regular doctor follow-ups. Nursing Process - Assessment Assessment Evaluation (Pre-administration assessment Why would you hold or not give Check after giving Take vitals; symptoms of hypoglycemia and this med? Control of blood glucose levels without the hyperglycemia. hypoglycemia appearance of hypoglycemic or Monitor body weight periodically hyperglycemic episodes