INDEX Generic Name insulin glargine Trade Name Lantus

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency hormones 10 units Subcut Once daily (initiation) then 2-100 units Subcut daily Duration 24 hours For IV meds, compatability with IV drips and/or solutions

Peak Onset 5 hour within 1 hour Why is your patient taking this medication? Mechanism of action and indications Once-daily treatment of diabetes mellitus Control of blood glucose in diabetic patients

Nursing Implications (what to focus on) Contraindications/warnings/interactions allergy; stress; pregnancy; infection; renal/hepatic impairment (may decrease insulin requirements); Geriatric patients; Children.

Common side effects Hypoglycemia; lipodystrophy (lipoatrophy and lipohypertropy); pruritus; rash; allergic reactions

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine medicines (ask patient specifically) Beta blockers; clonidine; reserpine; Thiazide diuretics; corticosteroids; danazol; diltiazem; dobutamine; thyroid preparations; estrogens; isoniazid; nicotine; phenothiazines; progesterone; protease inhibitor; sure to teach the patient the following about this medication Be antriretrovirals; somatropin; thyroid hormones; sympathomemetic Proper technique for administration; agents; rifampin; testosterone; alcohol; ACE inhibitors; clofbrate; rotation of sites; opened vials dicarded 1 month after opening; rolling vial rather disopyramide; fluoxetine; MAOIs; NSAIDS; octreotide; oral than shaking; proper testing of glucose levels; exercise; diet; alcohol use; hypoglycemic agents; propoxyphene; sulfinpyraxozone; drug interactions; signs and symptoms of hypoglycemia and hyperglycemia; salicylates; tetracyclines; phenylbutazone; warfarin. 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 hypolycemic or Monitor body weight periodically hyperglycemic episodes

Sign up to vote on this title
UsefulNot useful