Metformin (Glucophage) Nursing Considerations
Included In This Lesson
Study Tools For Metformin (Glucophage) Nursing Considerations
Outline
Generic Name
metformin
Trade Name
Glucophage
Indication
management of Type II DM, PCOS
Action
decreases glucose production in the liver, decreases absorption, increases cellular insulin sensitivity
Therapeutic Class
Antidiabetic
Pharmacologic Class
Biguanide
Nursing Considerations
• do not use with renal dysfunction, metabolic acidosis
• may cause diarrhea, nausea, vomiting, lactic acidosis
• monitor patient closely for ketoacidosis and lactic acidosis, discontinue medication immediately
if acidotic
• may cause metallic taste
• instruct patient that medication does not cure diabetes
Transcript
Okay, let’s talk about Metformin also known as Glucophage. This is an oral medication, as you can see here. So remember when we were talking about the therapeutic class of a drug, that’s how the drug works in the while the pharmacologic class is the chemical effect of the drug. So the therapeutic class of Metformin is an antidiabetic and the pharmacologic class is a bide. So Metformin works by decreasing glucose production in the liver. It decreases absorption in of glucose and it increases cellular insulin sensitivity. So we use Metformin for the management of type two diabetes melitis and also for the treatment of polycystic ovarian syndrome or P C O S. So some of the side effects that we see with met Forin include things like diarrhea, nausea, vomiting, in, in rare cases, lactic acidosis.
So let’s take a look at a few nursing considerations for Metformin monitor, for signs of keto acidosis, and also lactic acidosis. The patient that Metformin may create a metallic taste in the mouth discontinue immediately. If the patient becomes ATIC do not use the patients who have renal dysfunction or metabolic acidosis, and be sure to teach the patient that Metformin does not, or their diabetes. And that’s something I see a lot guys, Metformin does have a black box warning with that development of lactic acidosis, which has led to death. So it’s important to recognize early symptoms of this, which can include malaise, muscle pain, respiratory depression, and elevated lactate levels. That’s it for Metformin or Glucophage now go out and be your best self today. And as always happy nursing.
Yaaaaaah Med Surg
Concepts Covered:
- Musculoskeletal Trauma
- Musculoskeletal Disorders
- Emergency Care of the Trauma Patient
- Shock
- Acute & Chronic Renal Disorders
- Vascular Disorders
- Disorders of the Thyroid & Parathyroid Glands
- Cardiac Disorders
- Emergency Care of the Cardiac Patient
- Disorders of the Posterior Pituitary Gland
- Infectious Disease Disorders
- Infectious Respiratory Disorder
- Intraoperative Nursing
- Medication Administration
- Urinary Disorders
- Upper GI Disorders
- Lower GI Disorders
- Hematologic Disorders
- Male Reproductive Disorders
- Neurological Trauma
- Neurological Emergencies
- Noninfectious Respiratory Disorder
- Respiratory System
- Respiratory Emergencies
- Immunological Disorders
- Central Nervous System Disorders – Brain
- Renal Disorders
- Emergency Care of the Neurological Patient
- EENT Disorders
- EENT Disorders
- Liver & Gallbladder Disorders
- Shock
- Studying
- Disorders of Pancreas
- Respiratory
- Emergency Care of the Respiratory Patient
- Perioperative Nursing Roles
- Oncology Disorders
- Integumentary Disorders
- Postoperative Nursing
- Communication
- Legal and Ethical Issues
- Preoperative Nursing
- Documentation and Communication
- Fundamentals of Emergency Nursing
- Sexually Transmitted Infections
- Female Reproductive Disorders
- Peripheral Nervous System Disorders
- Central Nervous System Disorders – Spinal Cord
- Integumentary Disorders
- Disorders of Thermoregulation
- Neurologic and Cognitive Disorders
- Renal and Urinary Disorders
- Disorders of the Adrenal Gland
- Respiratory Disorders
- Integumentary Important Points
- Urinary System
- Tissues and Glands
- Microbiology
- Factors Influencing Community Health
- Multisystem
- Delegation
- Basics of NCLEX
- Circulatory System
- Cognitive Disorders
- Neurological
- Gastrointestinal
- Endocrine
- Cardiovascular