Generic and
Brand name,
Route, Time
1gm/IV q8

-Action/Use of each
-*Rationale for this


Adverse Effect

Nursing considerations

Binds to bacterial cell
membranes, inhibits cell
wall synthesis.

History of hypersensitivity
to this drug

200mg 1 tab
OD after
dinner 8pm

Lowers plasma
triglyceride by
activating lipoprotein
lipase thus increasing
catabolism of VLDL with
consequent increase in
HDL levels.

Antibiotic-associated colitis, other
super infections (abdominal
cramps, severe
watery diarrhea, fever) may result
Altered bacterial balance.
Nephrotoxicity may occur, esp. in
patients with preexisting renal
Patients with a history of allergies,
esp. to penicillin, are at increased
risk for developing a severe
hypersensitivity reaction (severe
pruritus, angioedema).
Severe pain in the upper stomach
spreading to back, nausea and
vomiting, fast heart rate; easy
bruising, unusual bleeding (nose,
mouth, vagina, or rectum), purple
or red pinpoint spots under the
skin; chest pain, sudden cough,
wheezing, rapid breathing,
coughing up blood; or
Pain, swelling, warmth, or redness
in one or both legs.

Monitor daily pattern of bowel activity,
stool consistency.
Monitor I&O, renal function tests for
Be alert for superinfection: fever,
diarrhea, anal/genital pruritus, oral
changes (ulceration, pain, erythema).
Teach SO that patients may experience
stomach upset or diarrhea but must
report severe diarrhea, difficulty
breathing, fatigue, pain at injection
Obtain diet history, esp. fat
Obtain serum cholesterol, triglycerides,
hepatic function tests (including ALT),
blood counts during initial therapy and
periodically during treatment.
Treatment should be discontinued if
hepatic enzyme levels persist greater
than 3 times the normal limit.

Liver Gold F
min B complex
1 tab OD after

For all forms of “hepatic
cell damage” as in
cases of: 1.Chronic
persistent and chronic


Monitor for adverse effects.
Tell patient to discontinue use if
adverse symptoms occur & not
improved w/in 1 month of treatment.

*Treatment of patient’s

Should not be used if
patient is allergic to it, or
have liver disease,
gallbladder disease,
severe kidney disease, or
patient is on dialysis.

increases the intracellular level of superoxide dismutase and bile flow (a choleretic effect ). Food supplement Vitamin K (AquaMEPHYT ON) 10mg IV OD 10pm Vitamins active hepatitis. petechiae.Drug-induced hepatitis.Fatty change of the liver. stimulate hepatocyte regeneration. 4. urine/stool culture for occult blood.flushing. erythema.Alcoholic liver disease. swelling and hematoma at injection site. increase in pulse rate. Assess peripheral pulses. Assess gums for gingival bleeding. An antihemorrhagic actor that promotes hepatic formation of active prothrombin. Dizziness. protects the liver from damage and enhances its detoxification processes by acting as an antioxidant. Assess skin for ecchymoses. diaphoresis. inhibits the formation of leukotrienes. pain.dinner 8pm Vitamins. Check for excessive bleeding from . severe headache (may be evidence of hemorrhage). rapid and weak pulse. *for the treatment of the patients prolonged prothrombin time None known. erythema. 6.Autoimmune hepatitis. complaint of abdominal/back pain. Assess for decrease in B/P. 5.Liver cirrhosis. platelet count. Assess Hct. Silymarin. 2. Monitor PT to determine dosage effectiveness as ordered. 3. transient hypotension after IV administration. Assess urine for hematuria.

release of mediators of inflammation. Oral folic acid is nontoxic. None known Cyanocobala min (Vitamin USES Treatment of megaloblastic and macrocytic anemias due to folate deficiency. ulcerative colitis). enzymes. varicella. Fortifier-FA (Ferrous fumarate) 1 tab OD 8am Hematinic Essential component in formation of Hgb. Monitor daily pattern of bowel activity. Assess for therapeutic improvement: improved sense of well-being. results of bone mineral density test. Assess for clinical improvement. . fever. pallor. height. history of allergy Endocrine: Hirsutism (occasional). lysosomal enzyme release/synthesis. Peripheral minor cuts. Assess for CHF. PATIENT/FAMILY TEACHING • Eat foods rich in folic acid. organ meats. glucose. headache). CNS: Insomnia GI: Gastric irritation or ulceration.Prednisone 20. weight in children. Large doses may aggravate existing GI tract disease (peptic ulcer. hemolytic anemias. vague symptoms). vegetables. serum electrolytes. Be alert to infection (sore throat. hypokalemia in cardiac pts receiving subcutaneous/ IM therapy. *for patients anemia Coenzyme for metabolic functions (fat. hypotension and shock-like reactions. Body as a Whole: Sensitivity to heat. administration of live or attenuated virus vaccines. phagocytosis. irritability. Impurities in preparation may cause rare allergic reaction. myoglobin. Tell patient to expect stool color to darken. Monitor serum iron. 5 1 tab OD 8am Glucocorticoid Inhibits accumulation of inflammatory cells at inflammation sites. regional enteritis. headache. 10. stool consistency. Hemochromatosis. Folart (folic acid) 5 mg 1 cap OD 8am Nutritional supplement Stimulates production of platelets. paresthesia of extremities. Monitor B/P. severe abdominal pain. reticulocyte count. Also see prednisone. RBCs. adverse effects on growth and development of the individual and on sperm. cardiovascular collapse. vasomotor symptoms. total iron-binding capacity. carbohydrate Contraindications: Hereditary optic nerve atrophy. diarrhea. shortness of breath. dehydration. Hgb. Give with meals to reduce gastric irritation. including Fruits. systemic fungal infections. Skin: Ecchymotic skin lesions. followed by hyperventilation. Promotes effective erythropoiesis and transport. Severe iron poisoning occurs most often in children. scratches. assess oral cavity daily for signs of candida infection (white patches. cyanosis. pallor). relief from iron deficiency symptoms (fatigue. Acute superficial herpes simplex keratitis. pulmonary edema. fat embolism. record relief of iron deficiency symptoms (fatigue. painful tongue/mucous membranes). sore tongue. WBCs. pallor. ferritin. utilization of oxygen. Allergic hypersensitivity occurs rarely with parenteral form. manifested as vomiting.

Therapeutic response to treatment usually dramatic within 48 hrs. palpitations on exertion). hemorrhage.B12) 0. hypokalemia. loss of positional sense. Monitor serum potassium (3. increased B12 requirement due to pregnancy. fatigue. renal or cardiac function.6 ml/IM OD 10am Vitamin. Anti anemic metabolism. pallor. to cobalamins. disturbances of liver function. convulsion. Inform your physician about any previous history of rush or bronchospasm due to treatment with N-acetyl cysteine. *for patients anemia Ladogal (danazol) 200mg 1cap OD 10am Synthetic steroid hormone For the treatment of endometriosis. Hypotension. irritability. lactation. Porphyria. Therapeutic Effect: Necessary for cell growth and replication. vascular thrombosis. protein synthesis).5–5 mEq/L). rise in reticulocyte count (peaks in 5–8 days). Assess for reversal of deficiency symptoms (hyporeflexia. thyrotoxicosis. Renal or cardiac oedema. Exflem (Acetylcystei ne) 600mg 1tab+50cc H2O q12 Mucolytic The thiol group of Nacetylcysteine breaks up the disulfide bonds of the viscous bronchial secretions affording smaller molecules with lower viscosity which . androgen dependent tumor. Active peptic ulcer Markedly impaired hepatic. hematopoiesis. Pregnancy. abnormal vaginal bleeding and breast disease that have not been fully investigated. acidosis. Allergic reaction to Nacetylcysteine. Thromboembolic disorders. pulmonary edema. CHF occur rarely. thromboembolic disease. Cautions: Folic acid deficiency. Do not uses with antitussive medicines since the suppress the cough reflex USES Treatment of pernicious anemia. anorexia. hepatic/renal disease. porphyria. anemia. insomnia. malignancy. benign breast disease and hereditary angioedema. cardiac and repiratory arrest Should be taken with food. ataxia. Take this medicine with food to decrease stomach upset. myelin synthesis. premature neonates. Take your doses at regular intervals. abnormal genital bleeding of unknown etiology. serum B12 (200–800 mcg/ml). vitamin B12 deficiency due to malabsorption diseases. Do not take your medicine more often than directed.

constipation. death. and the physiologic self-cleaning mechanism of respiratory airways. alcohol. occurrence of bronchospasm. This results in clearing of respiratory ducts and facilitates breathing. trembling. bruising. leucopenia. Tell patient to notify prescriber for pain/ fever lasting for more than 3 days. competes with histamine for H 1receptor sites on effector cells in the GIT. intolerance to tartrazine (yellow dye #5). blood vessels and respiratory tract Hypersensitivity. jaundice. sore throat. CNS. saccharin. agitation. location. Contraindicated with allergy to acetaminophen Hypersensitivity to the drug Stimulation. temperature. table sugar. Teach patient to recognize signs of chronic overdose: bleeding. drug may have to be discontinued. hepatotoxicity. Paracetamol 500mg 1tab RTC q4 Antipyretic Iterax (Hydroxyzine) 25mg 1tab OD 9pm Sedative Decreases fever by inhibiting the effects of pyrogens on the hypothalamus heat regulating centers & by a hypothalamic action leading to sweating & vasodilatation. weakness Resp: wheezing GI: dry mouth. Assess patient’s fever or pain: type of pain. and diaphoresis. thus causing mucus stasis in bronchial ducts will increase the risk of infection . nausea Derm: flushing Assess motor responses (agitation. intensity. autonomic responses (cold/clammy hands. hepatic seizure(overdose. Assess allergic reactions: rash. fever. duration. hemolytic anemia (long term use) thrombocytopenia. urticaria. pancytopenia. convulsions. coma. cyanosis. Renal failure(high. urticaria. dizziness. bitter taste. malaise. tension). . CNS: drowsiness. Special attention must be paid to patients with bronchial asthma because of the risk of bronchospasm in these patients.are cleared by coughing. if these occur. anemia. delirium followed by vascular collapse. diaphoresis). vomiting. hypersensitivity. rash. ataxia. abdominal pain. headache. nausea. prolonged doses). Patients with gastrointestinal bleeding must use this medicine with caution since it increases nausea. neutropenia. stimulation. drowsiness.

calcified gallstones. peripheral edema. Long-term use may result in laxative dependence. . ALT (SGPT).impaired contractility of the gall bladder CNS: anxiety. nausea. urinary retention Ursofalk (Ursodeoxycho lic acid) 250mg 1cap BID Cholelitholytics & hepatic protectors Action: Suppress hepatic synthesis. -to dissolve gallstones caused by excess cholesterol in the gall bladder. . fatigue. producing osmotic effect. biliary secretion and intestinal reabsorbing of cholesterol. vomiting. loss of normal bowel function. gallstone calcification GI: diarrhea Administer with food intake. This may cause scarring of the liver. chronic constipation. diarrhea Assess for adverse reactions for pt. hypertension. Lactulose (duphalac) 30cc q12 Ammonia detoxicant Prevents reabsorption of ammonia. Uses: -for the treatment of a condition where the bile ducts in the liver become damaged leading to a build-up of bile. -Obstruction of the biliary tract. Monitor the liver parameters of AST (SGOT).Others: chest tightness. . Contraindications: Use in pts requiring a lowgalactose diet. Assess condition before therapy and reassess regularly thereafter to monitor drug’s effectiveness. The liver should not be so damaged that it is not functioning properly. and GGT every 4 weeks. with hepatic encephalopathy: regularly assess mental condition . for the first three months of therapy. decreases -Hypersensitivity to bile acids (like ursodeoxycholic acid) or to any of the other ingredients of Ursofalk capsules. -Acute inflammation of the gallbladder or biliary tract. depression CV: chest pain. Diarrhea indicates overdose. The gall bladder should still be working despite the gallstone(s). This condition is called primary biliary cirrhosis (PBC). bowel evacuation.Frequent cramp-like upper abdominal pain (biliary colic). Monitor pt for any adverse GI reactions. Therapeutic Effect: Promotes increased peristalsis.

Acidosis may occur when large dose are administered rapidly. Monitor patients temperature. Be alert to adverse reactions. Be alert to adverse reactions. abnormal amino acid metabolism Hypersensitivity: rare skin eruptions GI: occasional nausea and vomiting. Indication: Dietary supplement especially with patients with liver impairments. vitamins and minerals in the plasma. cardiogenic shock. Allergic reactions: Pharyngitis.serum ammonia concentration. Take with food. diarrhea Others: Occasional chills. For the treatment of hepatic encephalopathy in patient with chronic liver disease Blocks beta1-. Give oral drug with food to facilitate . fever and headache Asthma. beta2adrenergic receptors. carbohydrate. erythema Monitor I & O Monitor for increase glucose level in diabetic pts Assess patients condition before starting the therapy. diarrhea Others: Occasional chills. Monitor patient for hypoglycemia. improved serotonin metabolism in the brain and corrected a sleepwakefulness pattern in a rat model of chronic hepatic insufficiency which underwent a portacaval shunt operation. Indication: Treatment of hepatic encephalopathy in patient with chronic liver disease Given to normalize the amino acid. Hypersensitivity: rare skin eruptions GI: occasional nausea and vomiting. fats. Severe renal disorder. hyperammonemia. Aminoleban IV infusion 500 cc x 6hrs q12hrs Amino acid Aminoleban 1 sachet 50g with a glass of water BID 6am-8pm Dietary supplement Propranolol (Inderal) Aminoleban normalized the pattern of free amino acids in the plasma and brain. If GI reaction occurs monitor patients hydration. fever and headache Severe renal disorder. If GI reaction occurs monitor patients hydration. abnormal amino acid metabolism Hypoglycemia. COPD. bradycardia. Monitor patients temperature.

hypotension Dermatologic: Rash. If you have diabetes. fever. nasal stuffiness. nausea. pulmonary edema. vertigo. CNS disturbance local IV site reactions. depression (request change of your medication). Report difficulty breathing. Raynaud’s syndrome. Peyronie's disease. laryngospasm. lightheadedness. CVA. rhinitis. development of ANAs. sweating. abrupt discontinuation can cause a worsening of your disorder. d yspnea. Assess for adverse effects. Hypersensitivity to ciprofloxacin and other quinolones tous rash. the normal signs of hypoglycemia (tachycardia) may be blocked by this drug. diarrhea. CHF. abnormalities of liver associated absorption. rash. fatigue. eat regular meals. frequency Musculoskeletal: Joint pain. cough. nausea. acute pancreatitis GU: Impotence. . Nausea. confusion. emotional depression. memory loss. fibrosis. tinnitus. claudication. decreased libido. drowsiness. blurred vision (avoid driving or performing hazardous tasks). hallucinations. monitor your blood or urine glucose carefully. heart block greater than first-degree (unless pt has functional pacemaker). muscle cramp Respiratory: Bronchospasm. disorientation. slurred speech CV: Bradycardia. arthralgia. sore throat. thyrotoxicosis. nightmares. hyperglycemia or hypoglycemia. nocturia. fever. anorexia. vomiting. sleep disturbances. and LDH. loss of appetite (eat frequent small meals). diarrhea. constipation. sexual impotence.10mg 1tab BID For portal hypertention Antihypertensi ve Quinogen 500mg 1/2tab BID Used in the systemic treatment of infections. swelling of extremities. alkaline phosphatase. respiratory distress CNS: Dizziness. Give drug as ordered by the physician. bronchial obstruction. peripheral vascular insufficiency. night cough. and take your diabetic medication regularly. pruritus. Use cautiously with hypoglycemia and diabetes. depression. dry skin GI: Gastric pain. cardiac arrhythmias. uncompensated CHF. pharyngitis Other: Decreased exercise tolerance. flatulence. dysuria. sore throat. slow pulse. hepatomegaly. elevated serum transaminase. Do not discontinue the medication abruptly. sinoatrial or AV nodal block. You may experience these side effects: Dizziness. hepatic dysfunction.

Indications: Nutritional supplement for convalescence patients. Check blood sugar levels closely. infants. Symptoms of generalized For diabetes patients . Immune System Disorders: Uncommon: Urticaria. difficulty breathing. Examination of injection sites for lipodystrophy (lumpy areas). adding weights and effectively balancing blockers of body because of the combination of multivitamins with amino acids. Administer immediately before or soon after a meal. Hypoglycemia enzymes (hepatic enzymes).Anti-infective Aminomix 1amp in 1L PNSS x 3 cycles Amino acids. It may occur if the insulin dose is too high in relation to the insulin requirement and therefore require special attention during dose intesification. Very Rare: Anaphylactic reactions. . multivitamins. face. eruptions. fatty liver & hepatic encephalopathy. tightness in the chest. or tongue). The blood glucose lowering effect of insulin occurs when the molecules facilitate the uptake of glucose by binding to insulin receptors on muscle and fat cells and simultaneously inhibit the output of glucose from the liver. rash. Hypoglycemia. Use: Hypersensitivity to any ingredients of Aminomix.Some brands of amino acid-based nutritional supplement may affect blood sugar. lactating women. Severe allergic reactions (rash. itching. rapid-acting and an intermediateacting effect. Hypersensitivity to biphasic insulin as part or to any of the excipients of NovoMix 30 FlexPen. childn & for patients w/ acute & chronic liver disease eg liver cirrhosis. It can enhance amino acid effects and transfer assimilated protein to essential protein in the human body to promote growth. swelling of the mouth. headache. lips. NovoMix 30 FlexPen 18 units SQ before breakfast 14 units SQ before dinner insulin aspart . appetite. restlessness. hives. in general is the most frequently occurring adverse effect. and rash.

adolescents and children aged 10 years and above *Treatment of DM. angioneurotic edema.in the ratio 30/70 Antidiabetics used to treat diabetes mellitus in adults. Refraction anomalies may occur upon initiation of insulin therapy. Cardiovascular system: rarely pain in the heart. Mitodex 2 vials in D5W 8hrs OD x 3 cycles Hepatic protectors Treatment of mitochondrial dysfunctions. Acute and chronic hepatitis. Used in liver therapy Patients with history of hypersensitivity to any components of the drug hypersensitivity may include generalized skin rash. Eye Disorders: Uncommon: Refraction disorder. Generalized hypersensitivity reactions are potentially lifethreatening. Follow recommended dosage and administration method. gastrointestinal upset. fatty liver. These symptoms are usually of transitory nature. hepatic intoxication by drug or chemical substances. indiscriminate use may mask the precise diagnosis. If there is any specific symptom following administration. Nervous System Disorders: Rare: Peripheral neuropathy.a state of arousal. sweating. Contains Vitamin B and amino acids. Long-term use of large dosage of pyrodxine is associated with the development of servere peripheral neuropathies. discontinue usage and physician must be consulted. Fast improvement in blood glucose control may be associated with a condition termed acute painful neuropathy. tachycardia. CNS: rarely . difficulties in breathing. hepatic cirrhosis. Allergic reactions: rarely urticaria. If there is no improvement after a . itching. which is usually reversible. palpitation and reduction in blood pressure. Administration of doses >10 mcg of cyanocobalamin daily may produce a hematological response in patients with folate deficiency.

Nephrotoxicity may occur. abdominal cramps. P. pneumoniae. fecal impaction. to penicillin. hand tremor. Monitor renal function tests for evidence of nephrotoxicity. rhythm. . gray in dark-skinned pts). M. Acute surgical abdomen. Evaluate periodically patient’s need for continued use of drug. angioedema. in pts with preexisting renal disease. narrow angle glaucoma. Assess oral cavity for white patches on mucous membranes. Observe for retractions (clavicular. Monitor daily pattern of bowel activity. hypersensitivity. myasthenia gravis. gonorrhoeae. inhibits nasal secretions. rate of pulse. Pts with a history of allergies. and obstruction in the gastrointestinal tract and urinary system. pharyngitis. bronchospasm. depth. Mild GI effects may be tolerable (increasing severity may indicate onset of antibiotic-associated colitis). Following episodes may occur: Immune System Disorders: Anaphylactic reactions. tongue (thrush). Assess lung sounds for rhonchi. prostatic hypertrophy. are at increased risk for developing a severe hypersensitivity reaction (severe pruritus. acute bronchitis. Monitor ABGs. Antibiotic-associated colitis. Metabolism and Nutrition month of treatment. N. esp. fingernails for cyanosis (blue or dusky color in light-skinned pts. uncomplicated gonorrhea. acute exacerbations of chronic bronchitis. severe watery diarrhea. tonsillitis. type of respiration. H. quality. vomiting. anaphylaxis). catarrhalis. Add high-fiber foods slowly to regular diet to avoid gas and diarrhea. uncomplicated UTI. influenzae. sternal. Cautions: Narrow-angle glaucoma. mirabilis including otitis media. Hypersensitivity to atropine. other superinfections (abdominal cramps. stool consistency. wheezing. pyogenes. History of hypersensitivity to atropine.Cefixime Antibiotic Ipravent UDV (Ipratropium Bromide) Bronchodilator Treatment of susceptible infections due to S. rales. *to loosen secretions in the lungs of the patient Dulcolax 2 tab Laxative Expands intestinal fluid volume by increasing epithelial permeability. angioedema. *for patients constipation History of hypersensitivity/ anaphylactic reaction to cephalosporins. physician must also be consulted. E. intercostal). coli. fever) may result from altered bacterial balance. esp. intestinal obstruction. S. bisacodyl usually produces 1 or 2 soft formed stools daily. Observe lips. use of rectal suppository in Abdominal pain and diarrhea. nausea. *for patient pneumonia Open and widen the airways. Monitor rate. bladder neck obstruction.

weakness and arrhythmia Overgrowth of nonsusceptible organisms may occur. headache. Be alert to decreased urinary output (may be indication of renal . proctitis. diarrhea. If GI disturbance is noted. abdominal discomfort. transaminases. hyperkalemia. potassium intoxication which can cause confusion. paresthesia. diarrhea. leukopenia. Treatment of infections caused by susceptible strains of microorganisms No significant contraindications. vomiting. reduction in thromboplastin time. Treatment and prevention of hypokalemia. vomiting. hematochezia (blood in stool). rhabdomyositis Adequate fluid intake includes at least 6–8 glasses/day Inflammation. pruritus. rash. neutropenia. defecation). Infant <3 mth. thrombophlebitis. heart conditions. D5050 Carbohydrate. Check blood sugar level before giving. colitis. increase serum bilirubin. Nausea. carbapenems. ulcerated hemorrhoids. Gastrointestinal Disorders: Abdominal cramps and pain. pain. diarrhea. oral candidiasis. thrombocytopenia. burning from medication infusion. Warmth. hypertonic solution Merozan Antibiotic KCl 20 mEq + D5W 90cc 4hrs for 3 cycles Potassium replenisher Used in emergency care to treat hypoglycemia and to manage coma of unknown origin.presence of anal or rectal fissures. thrombocythemia. pain at injection site. nausea. abdominal spasm. Monitor serum potassium (particularly in renal impairment). syncope. dehydration and burns *to increase potassium of the patient Hypersensitivity to meropenem. Should be given with caution with patient with kidney impairment. Coadministration w/ potentially nephrotoxic drugs. Not use for methicillin-resistant staphylococci infections. alkaline phosphatase & lactic dehydrogenase. thrombophlebitis. Disorders: Dehydration. abdominal pain. Nervous System Disorders: Dizziness. Consider diagnosis of pseudomembranous colitis in patients who develop diarrhea. vomiting. Dizziness and syncope occurring after taking bisacodyl appear to be consistent with a vasovagal response (eg. Pregnancy & lactation. positiveve direct or indirect Coombs' test. eosinophilia. penicillins or other β-lactam antibiotics. nausea. dilute preparation further or give with meals. anorectal discomfort. urticaria.

bacterial meningitis. Check mental status. Anaphylactic reaction to other beta-lactams. more often if necessary. nausea. gynecologic/ obstetric infections. stool consistency. renal impairment. esp.. Evaluate hydration status. Antidiabetics insufficiency). patients in coma due to hyperglycemia. Monitor for nausea. Monitor daily pattern of bowel activity. Be alert to evidence of hyperkalemia (skin pallor/coldness. history of seizures). other superinfections (abdominal cramps. pneumonia. Anaphylactic reactions. IV site for extravasation. Local & generalized hypersensitivity reactions.Meropenem Antibiotic Lower respiratory tract infections. sepsis. complaints of paresthesia. potassium. renal/ hepatic function tests. febrile neutropenia. palpitation. vomiting. stool consistency. B/P twice a day. severe watery diarrhea. possible seizures. be alert to tremors. acute pulmonary exacerbation in cystic fibrosis. . brain lesions. Administer immediately before or soon after a meal. feeling of heaviness of lower extremities). Insuget R IV Regular insulin Short acting The major effects of insulin on carbohydrate homeostasis following its binding to specific cell-surface receptors on insulin-sensitive tissues. notably the liver. Assess I&O diligently during diuresis. Monitor I&O. urinary tract infections. Monitor serum electrolytes. It inhibits hepatic glucose production and enhances peripheral glucose disposal thereby reducing bloodglucose concentration. Hypoglycemia. Assess skin for rash. headache. meningitis (adults). phlebitis.g. Hypoglycemia. Assess temperature. Seizures may occur in those with CNS disorders (e. Evaluate for inflammation at IV injection site. fever) may result from altered bacterial balance. muscles and adipose tissue. Monitor daily pattern of bowel activity. Antibiotic-associated colitis.

emergency management of diabetic ketoacidosis *to lower blood glucose level .It also inhibits lipolysis thereby preventing the formation of ketone bodies. Use: Treatment of type 1 & 2 DM & gestational diabetes.