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Metformin (Glucophage) Nursing Considerations

Metformin (Glucophage) Nursing Considerations

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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

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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.

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Pharmacololgy/Dosage Calc

Concepts Covered:

Study Plan Lessons

Proton Pump Inhibitors

Anti-Infective – Penicillins and Cephalosporins

Metronidazole (Flagyl) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Nitro Compounds

Parasympatholytics (Anticholinergics) Nursing Considerations

Hydralazine (Apresoline) Nursing Considerations

Magnesium Sulfate

Histamine 1 Receptor Blockers

Histamine 2 Receptor Blockers

Histamine 2 Receptor Blockers

HMG-CoA Reductase Inhibitors (Statins)

Corticosteroids

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Benzodiazepines

Calcium Channel Blockers

Parasympathomimetics (Cholinergics) Nursing Considerations

Cardiac Glycosides

Autonomic Nervous System (ANS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

ACE (angiotensin-converting enzyme) Inhibitors

Angiotensin Receptor Blockers

Atypical Antipsychotics

Injectable Medications

IV Infusions (Solutions)

Complex Calculations (Dosage Calculations/Med Math)

Renin Angiotensin Aldosterone System

Basics of Calculations

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Oral Medications

The SOCK Method – S

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

Essential NCLEX Meds by Class

6 Rights of Medication Administration

The SOCK Method – Overview

12 Points to Answering Pharmacology Questions

54 Common Medication Prefixes and Suffixes

Betamethasone and Dexamethasone in Pregnancy

Sedatives-Hypnotics

Opioid Analgesics in Pregnancy

Meds for Postpartum Hemorrhage (PPH)

Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations

Mood Stabilizers

Antianxiety Meds

Magnesium Sulfate (MgSO4) Nursing Considerations

Meperidine (Demerol) Nursing Considerations

Morphine (MS Contin) Nursing Considerations

Phenobarbital (Luminal) Nursing Considerations

Pentobarbital (Nembutal) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

Meropenem (Merrem) Nursing Considerations

Selegiline (Eldepyrl) Nursing Considerations

Norepinephrine (Levophed) Nursing Considerations

Vasopressin (Pitressin) Nursing Considerations

Nitroglycerin (Nitrostat) Nursing Considerations

Nitroprusside (Nitropress) Nursing Considerations

Hydralazine (Apresoline) Nursing Considerations

Methylprednisolone (Solu-Medrol) Nursing Considerations

Fluticasone (Flonase) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Phenazopyridine (Pyridium) Nursing Considerations

Iodine Nursing Considerations

Sympatholytics (Alpha & Beta Blockers)

Oxycodone (OxyContin) Nursing Considerations

Nalbuphine (Nubain) Nursing Considerations

Methadone (Methadose) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Butorphanol (Stadol) Nursing Considerations

Oxytocin (Pitocin) Nursing Considerations

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Methylergonovine (Methergine) Nursing Considerations

Terbutaline (Brethine) Nursing Considerations

Naproxen (Aleve) Nursing Considerations

Ketorolac (Toradol) Nursing Considerations

Indomethacin (Indocin) Nursing Considerations

Calcium Acetate (PhosLo) Nursing Considerations

Lithium (Lithonate) Nursing Considerations

Propylthiouracil (PTU) Nursing Considerations

Glucagon (GlucaGen) Nursing Considerations

Pantoprazole (Protonix) Nursing Considerations

Omeprazole (Prilosec) Nursing Considerations

Sucralfate (Carafate) Nursing Considerations

Pancrelipase (Pancreaze) Nursing Considerations

Ondansetron (Zofran) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Loperamide (Imodium) Nursing Considerations

Lactulose (Generlac) Nursing Considerations

Spironolactone (Aldactone) Nursing Considerations

Mannitol (Osmitrol) Nursing Considerations

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Salmeterol (Serevent) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Guaifenesin (Mucinex) Nursing Considerations

Dopamine (Inotropin) Nursing Considerations

Olanzapine (Zyprexa) Nursing Considerations

Methylphenidate (Concerta) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

Haloperidol (Haldol) Nursing Considerations

Tetracycline (Panmycin) Nursing Considerations

Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations

Amoxicillin (Amoxil) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Levofloxacin (Levaquin) Nursing Considerations

Rifampin (Rifadin) Nursing Considerations

Nystatin (Mycostatin) Nursing Considerations

Isoniazid (Niazid) Nursing Considerations

Metronidazole (Flagyl) Nursing Considerations

Verapamil (Calan) Nursing Considerations

Nifedipine (Procardia) Nursing Considerations

Losartan (Cozaar) Nursing Considerations

Lisinopril (Prinivil) Nursing Considerations

Propranolol (Inderal) Nursing Considerations

Metoprolol (Toprol XL) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Promethazine (Phenergan) Nursing Considerations

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Mixtures (70/30)

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Metformin (Glucophage) Nursing Considerations

Sertraline (Zoloft) Nursing Considerations

Paroxetine (Paxil) Nursing Considerations

Phenytoin (Dilantin) Nursing Considerations

Heparin (Hep-Lock) Nursing Considerations

Lamotrigine (Lamictal) Nursing Considerations

Levetiracetam (Keppra) Nursing Considerations

Streptokinase (Streptase) Nursing Considerations

Procainamide (Pronestyl) Nursing Considerations

Warfarin (Coumadin) Nursing Considerations

Midazolam (Versed) Nursing Considerations

Lorazepam (Ativan) Nursing Considerations

Glipizide (Glucotrol) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Furosemide (Lasix) Nursing Considerations

Gabapentin (Neurontin) Nursing Considerations

Ferrous Sulfate (Iron) Nursing Considerations

Fentanyl (Duragesic) Nursing Considerations

Fluoxetine (Prozac) Nursing Considerations

Famotidine (Pepcid) Nursing Considerations

Escitalopram (Lexapro) Nursing Considerations

Erythromycin (Erythrocin) Nursing Considerations

Epoetin (Epogen) Nursing Considerations

Epinephrine (EpiPen) Nursing Considerations

Enoxaparin (Lovenox) Nursing Considerations

Enalapril (Vasotec) Nursing Considerations

Dobutamine (Dobutrex) Nursing Considerations

Divalproex (Depakote) Nursing Considerations

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

Diphenhydramine (Benadryl) Nursing Considerations

Diltiazem (Cardizem) Nursing Considerations

Digoxin (Lanoxin) Nursing Considerations

Diazepam (Valium) Nursing Considerations

Dexamethasone (Decadron) Nursing Considerations

Cyclosporine (Sandimmune) Nursing Considerations

Cortisone (Cortone) Nursing Considerations

Codeine (Paveral) Nursing Considerations

Clopidogrel (Plavix) Nursing Considerations

Clindamycin (Cleocin) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Cimetidine (Tagamet) Nursing Considerations

Chlorpromazine (Thorazine) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Cephalexin (Keflex) Nursing Considerations

Celecoxib (Celebrex) Nursing Considerations

Cefaclor (Ceclor) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Carbamazepine (Tegretol) Nursing Considerations

Captopril (Capoten) Nursing Considerations

Calcium Carbonate (Tums) Nursing Considerations

Anti-Platelet Aggregate

Buspirone (Buspar) Nursing Considerations

Bupropion (Wellbutrin) Nursing Considerations

Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations

Bisacodyl (Dulcolax) Nursing Considerations

Benztropine (Cogentin) Nursing Considerations

Azithromycin (Zithromax) Nursing Considerations

Atropine (Atropen) Nursing Considerations

Atorvastatin (Lipitor) Nursing Considerations

Atenolol (Tenormin) Nursing Considerations

ASA (Aspirin) Nursing Considerations

Ampicillin (Omnipen) Nursing Considerations

Amlodipine (Norvasc) Nursing Considerations

Amitriptyline (Elavil) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

Alteplase (tPA, Activase) Nursing Considerations

Alprazolam (Xanax) Nursing Considerations

Alendronate (Fosamax) Nursing Considerations

Albuterol (Ventolin) Nursing Considerations

Adenosine (Adenocard) Nursing Considerations

Acyclovir (Zovirax) Nursing Considerations

Anti-Infective – Antivirals

Acetaminophen (Tylenol) Nursing Considerations

Anti-Infective – Antifungals

Anti-Infective – Tetracyclines

Anti-Infective – Sulfonamides

Anti-Infective – Fluoroquinolones

Anti-Infective – Macrolides

Anti-Infective – Carbapenems

Anti-Infective – Aminoglycosides

Parasympathomimetics (Cholinergics) Nursing Considerations

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

ACLS (Advanced cardiac life support) Drugs

The SOCK Method – Overview

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

The SOCK Method – S

Complex Calculations (Dosage Calculations/Med Math)

IV Infusions (Solutions)

Injectable Medications

Oral Medications

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Basics of Calculations

Pharmacokinetics

Pharmacodynamics

NG Tube Medication Administration

Disease Specific Medications

Proton Pump Inhibitors

Anti-Infective – Penicillins and Cephalosporins

Parasympatholytics (Anticholinergics) Nursing Considerations

Nitro Compounds

Magnesium Sulfate

HMG-CoA Reductase Inhibitors (Statins)

Histamine 2 Receptor Blockers

Histamine 1 Receptor Blockers

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Corticosteroids

Cardiac Glycosides

Calcium Channel Blockers

Benzodiazepines

Autonomic Nervous System (ANS)

Atypical Antipsychotics

Angiotensin Receptor Blockers

ACE (angiotensin-converting enzyme) Inhibitors

Renin Angiotensin Aldosterone System

6 Rights of Medication Administration

Essential NCLEX Meds by Class

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

54 Common Medication Prefixes and Suffixes

12 Points to Answering Pharmacology Questions

Pharmacology Course Introduction