Drug Card 4 Metformin - Nursing Drug Cards PDF

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Summary

Nursing Drug Cards...

Description

PHARM-4-FUN

EST. TIME: 30 MIN (PER MEDICATION)

This activity provides you with the opportunity to create pertinent patient education on the pharmacological agents associated with the vSim activity. You will utilize this worksheet for each drug listed under the pharmacology are of the suggested reading section. STUDENT LEARNING OUTCOMES At the end of this activity, student will be able to: 1. 2.

Explain purpose for taking the identified pharmacological agents. Discuss pertinent patient education related to all the listed pharmacological agent.

ASSIGNMENT 1. 2. 3. 4. 5.

Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). Review the information contained in the patient information. Review the smart sense links associated with the Pharmacological agents found in the suggested reading area. Use the smart sense link to complete the following “patient education” worksheet for each pharmacological agent listed in the Pharmacology are of the suggested reading section. Submit for review.

PATIENT EDUCATION WORKSHEET NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE

MEDICATION:

CLASSIFICATION:

PROTOTYPE:

metformin

antidiabetics, biguanides

Glucophage

SAFE DOSE OR DOSE RANGE, SAFE ROUTE Adults and children >17 years: 500 mg twice daily, may increase by 500 mg at weekly intervals up to 2000 mg/day. PURPOSE FOR TAKING THIS MEDICATION -Management of type 2 diabetes mellitus, may be used with diet, insulin or sulfonylurea oral hypoglycemics.

Side effects: abdominal bloating, diarrhea, nausea, vomiting, unpleasant metallic taste, hypoglycemia, LACTIC ACIDOSIS, decreased vitamin B12 levels. Pharmacokinetics: Onset: unknown Peak: unknown Duration: 12 hours PATIENT EDUCATION WHILE TAKING THIS MEDICATION -Instruct patient to take metformin at the same time each day, as directed. Take missed doses as soon as possible unless almost time for next dose. Do not double doses. Instruct parent/caregiver to read the Medication Guide prior to use and with each Rx refill; new information may be available. -Metformin helps control hyperglycemia but does not cure diabetes. Therapy is usually long term. -Encourage patient to follow prescribed diet, medication, and exercise regimen to prevent hyperglycemic or hypoglycemic episodes. -Review signs of hypoglycemia and hyperglycemia with patient. If hypoglycemia occurs, advise patient to take a glass of orange juice or 2– 3 tsp of sugar, honey, or corn syrup dissolved in water, and notify health care professional. -Instruct patient in proper testing of blood glucose and urine ketones. These tests should be monitored closely during periods of stress or illness and health care professional notified if significant changes occur. -Risk of lactic acidosis and the potential need for discontinuation of metformin therapy if a severe infection, dehydration, or severe or continuing diarrhea occurs or if medical tests or surgery is required. Symptoms of lactic acidosis (chills, diarrhea, dizziness, low BP, muscle pain, sleepiness, slow heartbeat or pulse, dyspnea, or weakness) should be reported to health care professional immediately. -Notify health care professional of all Rx or OTC medications, vitamins, or herbal products being taken and to consult with health care professional before taking other medications or alcohol. -Metformin may cause an unpleasant or metallic taste that usually resolves spontaneously. -Inform health care professional of medication regimen before treatment or surgery. -Report the occurrence of diarrhea, nausea, vomiting, and stomach pain or fullness to health care professional. -Insulin is the recommended method of controlling blood glucose during pregnancy. Counsel female patients to use a form of contraception other than oral contraceptives and to notify health care professional promptly if pregnancy is planned or suspected, or if breast feeding.

-Carry a form of sugar (sugar packets, candy) and identification describing disease process and medication regimen at all times. -Emphasize the importance of routine follow-up exams and regular testing of blood glucose, glycosylated hemoglobin, renal function, and hematologic parameters....