GENERIC NAME: METFORMIN HYDROCHLORIDE

CLASSIFICATION: Antidiabetics - Biguanides

DOSAGE, ROUTE & FREQUENCY: 500 mg 1 tab po TID
MECHANISM OF ACTION: Decreases hepatic glucose production and intestinal absorption
of glucose and improves insulin sensitivity (increases peripheral glucose uptake and use)
DESIRED EFFECT: This drug is given to lower the blood glucose level.
NURSING RESPONSIBILITIES:
1. Always verify the doctor’s order.

Rationale: To avoid the chance of errors or confusion.

2. Always verify for the patients identity like ask the name of the patient before
administering the medication.

Rationale: To avoid mistaking a patient for another or to avoid errors in medication

administration.

3. Always follow the correct time of administering the medication.

Rationale: To ensure effectiveness and to minimizing side effects.

4. Always stay with the patient when taking his medication and check his mouth .

Rationale: To know if the patient really swallow the medication.

5. Monitor patients glucose level regularly.

Rationale: to evaluate effectiveness of the drug

6. Instruct to take the medication with meals.

Rationale: to minimize GI symptoms

7. Document the given medication.

Rationale: For references and to show that the medication was given.
8. Monitor for these side effects:
a. nausea and vomiting
- Advise to eat small frequent meals.
 b. diarrhea
- Encourage to increase oral fluid intake to avoid dehydration
c. headache
- Instruct to do a hot or cold compresses to the head or neck.

GENERIC NAME: ROSUVASTATIN CALCIUM

CLASSIFICATION: Antilipedemics – HMG-CoA reductase inhibitors
DOSAGE, ROUTE & FREQUENCY: 20 mg 1 tab po OD
MECHANISM OF ACTION: Inhibits HMG-CoA reductase, an early (and rate-limiting) step in
cholesterol biosynthesis.
DESIRED EFFECT: This drug is given to help lower blood cholesterol level
NURSING RESPONSIBILITIES:
1. Always verify the doctor’s order.

Rationale: To avoid the chance of errors or confusion.

2. Always verify for the patients identity like ask the name of the patient before
administering the medication.

Rationale: To avoid mistaking a patient for another or to avoid errors in medication

administration.

3. Always follow the correct time of administering the medication.

Rationale: To ensure effectiveness and to minimizing side effects.

4. Instruct to take the medication with meals.

Rationale: For better absorption.

5. Always stay with the patient when taking his medication and check his mouth .

Rationale: To know if the patient really swallow the medication.

6. Instruct patient to avoid foods that is high in cholesterol.

 Rationale: this may worsen in increasing blood cholesterol level.

7. Document the given medication.

Rationale: For references and to show that the medication was given.
8. Monitor for these side effects:
a) Diarrhea

- Encourage to increase oral fluid intake to avoid dehydration.

b) Dyspepsia

- Instruct patient to eat in a smaller portion but more frequent meals.

c) Myalgia

- Rest and elevate the painful area.