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.
Katies NCLEX
Concepts Covered:
- Test Taking Strategies
- Medication Administration
- Adult
- Emergency Care of the Cardiac Patient
- Microbiology
- Anxiety Disorders
- Depressive Disorders
- Nervous System
- Gastrointestinal Disorders
- Fundamentals of Emergency Nursing
- Dosage Calculations
- Understanding Society
- Circulatory System
- Concepts of Pharmacology
- Studying
- Newborn Care
- Adulthood Growth and Development
- Respiratory Disorders
- Pregnancy Risks
- Neurological
- Postpartum Complications
- Substance Abuse Disorders
- Bipolar Disorders
- Learning Pharmacology
- Psychotic Disorders
- Prenatal Concepts
- Tissues and Glands
- Factors Influencing Community Health
- Concepts of Population Health
- Community Health Overview
- Developmental Considerations
- Communication
- Legal and Ethical Issues
- Cardiovascular
- Emergency Care of the Neurological Patient
- Emergency Care of the Respiratory Patient
- Emergency Care of the Trauma Patient
- Delegation
- Multisystem
- Health & Stress
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Trauma-Stress Disorders
- Developmental Theories
- Concepts of Mental Health
- Gastrointestinal
- Newborn Complications
- Labor Complications
- Fetal Development
- Terminology
- Labor and Delivery
- Postpartum Care
- Prefixes
- Suffixes
- Proteins
- Statistics
- Med Term Basic
- Med Term Whole
- Cardiac Disorders
- Preoperative Nursing
- Intraoperative Nursing
- Vascular Disorders
- Noninfectious Respiratory Disorder
- Upper GI Disorders
- Central Nervous System Disorders – Brain
- Shock
- Immunological Disorders
- Postoperative Nursing
- Perioperative Nursing Roles
- Hematologic Disorders
- Disorders of Pancreas
- Neurological Trauma
- Neurological Emergencies
- Musculoskeletal Trauma
- EENT Disorders
- Peripheral Nervous System Disorders
- Respiratory Emergencies
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
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- Liver & Gallbladder Disorders
- Lower GI Disorders
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- Acute & Chronic Renal Disorders
- Disorders of the Adrenal Gland
- Documentation and Communication
- Oncology Disorders
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- Cognitive Disorders
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- Sexually Transmitted Infections
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- Urinary Disorders
- Integumentary Disorders
- Musculoskeletal Disorders
- Disorders of Thermoregulation
- Basics of NCLEX
- Integumentary Important Points
- Urinary System
- Neurologic and Cognitive Disorders
- Central Nervous System Disorders – Spinal Cord
- Renal and Urinary Disorders
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- Infectious Disease Disorders
- EENT Disorders
- Eating Disorders
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- Prioritization
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- Endocrine and Metabolic Disorders
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- Growth & Development
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- State of Consciousness
- Basics of Sociology
- Note Taking
- Basics of Human Biology