INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)

Generic Trade Classification Dose Route Time/Frequency
Name Name antidiabetics 0.5-1 unit Subcut per kg/day in divided doses
hormones (maintenance)
insulin, regular Humulin R

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
2-4 hours 30-60 minutes 5-7 hours
Why is your patient taking this medication?

Mechanism of action and indications Nursing Implications (what to focus on)

Management of diabetes mellitus Contraindications/warnings/interactions Allergy to preservatives or other
Concentrated regular insulin U-500: Only for use additives. Use cautiously in: stress, pregnancy, and infection (may temporarily
in patients with insuling requirements >200 units/day increase insulin requirements)
Treatment of hyperkalemia

Control of blood glucose in diabetic patients Common side effects Hypoglycemia, lipodystrophy, pruritus, rash,
allergic reactions.

Interactions with other patient drugs, OTC, or herbal
medicines (ask patient specifically)
Beta blockers; Thiazide diuretics; corticosteroids;
acetazolamide; morphine; diltiazem; dobutamine; thyroid
preparations; estrogens; nicotine; pretease inhibitor
antiretrovirals; alcohol (chronic use); rifampin; anabolic
steroids (testosterone); clofibrate; MAOIs; NSAIDS; oral
hypoglycemic agents; sulfinpyrazone; tetracyclines;
phenylbutazone; ACE inhibitors; sulfonamides; warfarin;
Glucosamine; Fenugreek; chronium; coenayme Q-10.
Nursing Process - Assessment Assessment
(Pre-administration assessment Why would you hold or not give
Take vitals; symptoms of hypoglycemia and this med?
hyperglycemia. hypoglycemia
Monitor body weight periodically
Lab value alterations caused by medicine
Be sure to teach the patient the following about this medication
Administer 15-30 min before meals; proper technique for administration;
rotation of sites; opened vials dicarded 1 month after opening; rolling vial rather
than shaking; proper testing of glucose levels; exercise; diet; alcohol use;
drug interactions; signs and symptoms of hypoglycemia and hyperglycemia;
pregnancy; carry a source of sugar; ID braclet; Regular doctor follow-ups.
Evaluation
Check after giving
Control of blood glucose levels without the
appearance of hypoglycemic or hyperglycemic
episodes