NPH Isophane Insulin Suspension- Drug Card PDF

Preview

Summary

Drug card on intermediate insulin NPH...

Description

Student Name: Samantha Mendoza Classiication: Antidiabetics. Generic Name:NPH/Isophane Insulin Suspension Expected Pharmacological Action: Regulates glucose metabolism by binding to insulin receptors on muscle, liver, and fat cells; facilitates cellular uptake of glucose; and promotes uptake and storage of glucose in the form of glycogen in the liver. Usual Dose: 100 units/mL (U-100) in 3-mL and 10-mL vials; 3-mL prefilled pens Usual routes: SQ Therapeutic Uses:

Expected Common Adverse Eects:

To improve glycemic control in patients with diabetes mellitus.

Hypoglycemia

Adverse Eects Requiring Nursing Action: Adverse Eects

Action: Prevention/Assessment/Intervention

headache, fever, pain.

Monitor vital signs

hypoglycemia, hypokalemia, weight gain.

Monitor lab value and vital signs

bronchitis, cough.

Monitor pt respirations and lung sound.

allergic reactions, insulin antibody production, flu like syndrome, infection

Stop medication immediately.

Likely Medication/Food Interactions:

Drug-drug ACE inhibitors, antidiabetic agents (oral), ARBs, disopyramide, fibrates, fluoxetine, MAO inhibitors, octreotide, pentoxifylline, pramlintide, salicylates, sulfonamide antibiotics: May increase risk of hypoglycemia. Monitor glucose level closely and adjust insulin dosage as needed. Beta blockers, clonidine, guanethidine, reserpine: May mask signs and symptoms of hypoglycemia. Avoid concurrent use, if possible, or monitor patient closely. Beta blockers, clonidine, lithium salts, pentamidine: May cause hypoglycemia or hyperglycemia. Monitor glucose level closely. Drug-herb Ginseng: May increase drug’s effects. Discourage use together. Drug-lifestyle Alcohol use: May cause hyperglycemia or hypoglycemia. Monitor glucose level closely and discourage concurrent use.

Administration/Interventions/Evaluation of Eectiveness/Laboratory Work

Effects on Lab Test Results ●

May decrease blood glucose and potassium levels.

Patient Education: What will the safe nurse teach the client to DO or expect or report?

● ●

● ● ● ● ●

Caution patient not to mix insulin combination products with other insulins. Alert: Warn patients not to share multidose pen with other people, even if the needle is changed, because of risk of bloodborne pathogen transmission, including HIV and hepatitis. Advise patients that hypoglycemic episodes can impair the ability to concentrate and react; advise patients to use caution while driving and operating machinery. Instruct patients to keep hard candy or glucose tablets on hand to treat mild cases of hypoglycemia. Advise patients to keep a log of glucose levels. Instruct patients on long-term sequelae of diabetes if not managed properly. Instruct patients to carry identification or wear jewelry indicating that patient has diabetes.

Citations: Lippincott Advisor for Education....