Drug Mechanism of action/Side effects Indication/ Nursing responsibilities

Contraindication
Brand name: Mechanism of action: Indication: Before:
Formetin
Generic name: Lowers blood glucose levels. To reduce blood glucose  Verify the patient's
Metformin Biguanides are insulin sensitizers, concentration among identity.
Classification: meaning they improve insulin by patients with diabetes
Anti-diabetic decreasing its resistance; they  History: Allergy to
mellitus, type 2; also
agents diminish intestine absorption and metformin; diabetes
hepatic glucose production (hepatic decreases blood lipid
Route: PO complicated by fever,
Dosage: 1 cap gluconeogenesis); they also lower levels.
severe infections, severe
Frequency: OD glucagon levels and increase
glucose uptake by skeletal muscle Contraindication: trauma, major surgery,
and fat. ketosis, acidosis, coma;
Conditions that may type 1 diabetes.
Side effects: impair renal function (e.g.,
dehydration, severe  Note other drugs patient is
Significant: Vitamin B12deficiency, infection, shock), acute or
taking.
Cardiac disorders: Chest chronic disease-causing
hypoxia (e.g., unstable During
discomfort, palpitations, dyspnea.
cardiac or respiratory
failure, recent MI, shock),  Administer the right drug
acute or chronic alcohol
in the right dose and route
intoxication or alcoholism
Severe renal impairment at the right time. Swallow
(eGFR 30 mL/min). ER tablets whole; do not
Iodinated contrast agent cut, crush, or chew.
injection intravenously.
 Best absorbed when taken
with meals.

 Drink plenty of fluids while

you are using this
medicine.

After

 Monitor blood for glucose

and ketones as
prescribed.

 Instruct the patient and

family caregivers to report
any other bothersome side
effects.

 Document and Record.