ATI learning template Regular insulin PDF

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ATI learning template for regular insulin...

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ACTIVE LEARNING TEMPLATE:

Medication

Mesadieu STUDENT NAME Shaynell _____________________________________ Insulin MEDICATION Regular __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ CATEGORY CLASS Antidiabetics ______________________________________________________________________

PURPOSE OF MEDICATION

Expected Pharmacological Action Lowers blood sugar by moving glucose from the blood into the body's cells. Take 30 minutes to an 1 hour to take effect.

Therapeutic Use Control hyperglycemia for type 1 or 2 diabetes mellitus

Complications Swelling, hypokalemia, hypoglycemia, erythema, lipodystrophy, pruritits, anaphylaxis.

Medication Administration IV and Subcutaneous

Contraindications/Precautions Allergy or hypersensitity to a type of insulin, preservatives or other additives. Use cautiously in: Stress and infection ( may temporarily increase insulin requirement) Renal/hepatic impairment (may lowers insulin requirment) Concomitant use with pioglitazone or rosiglitazone. (high risk of fluid retention)

Interactions Beta blockers and clonidine mask some of the symptoms of hyperglycemia Corticosteriods, thyroid supplements, estrogens, isoniazid,niacin, phrnothiazines, and rifampin may increase insulin requirements. Alcohol, ACE inhibitors, MAO inhibitors, octreotide, oral hypoglycemic agents, and salicylates may lower insulin requirements Concurrent use with pioglitazone or rosiglitazone may increase risk of fluid retention. Glucosamine may worsen blood glucose control.

Evaluation of Medication Effectiveness Control of blood glucose levels in diabetic patients without the appearnce of hypoglycemic or hyperglycemic episodes.

ACTIVE LEARNING TEMPLATES

Nursing Interventions Check type, dose, and expiration date wih another licensed nurse. Only use insulin syringes to draw up dose. Administer regular insulin 15-30 minutes before a meal.

Client Education Instruction of insulin administration. Emphasize the importance of a healthy lifestyle. Caution patient of not to share insulin pen with another person. Emphasize the importance of regular follow up....