ACTIVE LEARNING TEMPLATE: Medication
STUDENT NAME MEDICATION Metformin CATEGORY CLASs Biguanides
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PURPOSE OF MEDICATION
Expected Pharmacological Action
Therapeutic Use
Reduces the production of glucose within the liver through the suppression of gluconeogenesis.
To control blood glucose levels in patients with diabetes 2
Complications
Medication Administration
Anorexia, nausea, and diarrhea Vitamin B12 and folic acid deficiency Lactic acidosis
Take 2 PO per day with breakfast and dinner
Contraindications/Precautions
Severe infection Shock Kidney impairment hypoxic condition Alcohol use disorder
Nursing Interventions
After administration observe for hypoglycemic reactions - Assess patients with lab abnormalities or develop illness for ketoacidosis or lactic acidosis. - Monitor serum glucose and glycosylated hemoglobin periodically
Interactions
Concurrent use of Alcohol or cimetidine Concurrent use of iodine-containing contrast media
Client Education
Exercise consistently and follow appropriate dietary guidelines. - Maintain log of glucose levels - Monitor manifestations of hypoglycemia.
Evaluation of Medication Effectiveness
Controlled glucose level without the appearance of hypoglycemia.
ACTIVE LEARNING TEMPLATES
THERAPEUTIC PROCEDURE