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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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Endocrine

Concepts Covered:

Endocrine System
Tissues and Glands
Disorders of Pancreas
Disorders of the Adrenal Gland
Disorders of the Thyroid & Parathyroid Glands
Oncology Disorders
Pregnancy Risks
Respiratory Disorders
Terminology
Disorders of the Posterior Pituitary Gland
Eating Disorders
Medication Administration
Statistics
Female Reproductive Disorders
Renal Disorders
Substance Abuse Disorders
Renal and Urinary Disorders
Newborn Care
Studying
Urinary System
Noninfectious Respiratory Disorder

Study Plan Lessons

Pituitary Gland

Metabolic & Endocrine Module Intro

Metabolic/Endocrine Course Introduction

Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)

Nursing Care Plan (NCP) for Hyperparathyroidism

Nursing Care Plan (NCP) for Hyperthyroidism

Nursing Care Plan (NCP) for Hypoparathyroidism

Nursing Care Plan (NCP) for Hypothyroidism

Pituitary Adenoma

Glucose Tolerance Test (GTT) Lab Values

Pituitary Gland

Free T4 (Thyroxine) Lab Values

Glucose Lab Values

Iodine Nursing Considerations

Levothyroxine (Synthroid)

Hypoparathyroidism

Hyperthyroidism Case Study (75 min)

Metabolic & Endocrine Module Intro

Metabolic & Endocrine Terminology

Metabolic/Endocrine Course Introduction

Nursing Care and Pathophysiology for Hyperparathyroidism

Nursing Care and Pathophysiology for Hyperthyroidism

Nursing Care and Pathophysiology for Hypothyroidism

Nursing Care Plan (NCP) for Hyperparathyroidism

Nursing Care Plan (NCP) for Hypothyroidism

Nursing Care Plan (NCP) for Hypoparathyroidism

Nursing Care Plan (NCP) for Hyperthyroidism

Nursing Care Plan (NCP) for Thyroid Cancer

Pituitary Adenoma

Pituitary Gland

Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)

Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)

Thyroid Stimulating Hormone (TSH) Lab Values

Thyroxine (T4) Lab Values

Triiodothyronine (T3) Lab Values

Metabolic & Endocrine Terminology

Antidiabetic Agents

Hypoparathyroidism

Iodine Nursing Considerations

Hyperthyroidism Case Study (75 min)

Free T4 (Thyroxine) Lab Values

Levothyroxine (Synthroid)

Metabolic & Endocrine Module Intro

Metabolic/Endocrine Course Introduction

Nursing Care and Pathophysiology for Hyperparathyroidism

Nursing Care and Pathophysiology for Hyperthyroidism

Nursing Care and Pathophysiology for Hypothyroidism

Nursing Care Plan (NCP) for Hyperparathyroidism

Nursing Care Plan (NCP) for Hyperthyroidism

Nursing Care Plan (NCP) for Hypothyroidism

Nursing Care Plan (NCP) for Hypoparathyroidism

Nursing Care Plan (NCP) for Thyroid Cancer

Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)

Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)

Triiodothyronine (T3) Lab Values

Thyroxine (T4) Lab Values

Thyroid Stimulating Hormone (TSH) Lab Values

Nursing Care Plan (NCP) for Hyperthyroidism

Nursing Care Plan (NCP) for Diabetes Insipidus

Nursing Care Plan (NCP) for Hypothyroidism

Pituitary Adenoma

Pituitary Gland

Hypoparathyroidism

Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)

Metabolic & Endocrine Terminology

Nursing Care and Pathophysiology for Hyperparathyroidism

Nursing Care and Pathophysiology for Hyperthyroidism

Nursing Care Plan (NCP) for Hyperparathyroidism

Nursing Care Plan (NCP) for Hypoparathyroidism

Diabetes Mellitus Case Study (45 min)

Glucose Lab Values

Glucagon Lab Values

Glipizide (Glucotrol) Nursing Considerations

Metabolic & Endocrine Terminology

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Nursing Care Plan (NCP) for Diabetes

Nursing Care Plan (NCP) for Diabetes Mellitus (DM)

Nursing Care Plan (NCP) for Hypoglycemia

Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)

Cortisol Lab Vales

Cortisone (Cortone) Nursing Considerations

Corticosteroids

Cushing’s Syndrome Case Study (60 min)

Metabolic & Endocrine Terminology

Metabolic/Endocrine Course Introduction

Nursing Care and Pathophysiology for Cushings Syndrome

Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)

Nursing Care Plan (NCP) for Cushing’s Disease

Pituitary Gland

Diabetes Insipidus Case Study (60 min)

Free T4 (Thyroxine) Lab Values

Growth Hormone (GH) Lab Values

Metabolic & Endocrine Terminology

Metabolic/Endocrine Course Introduction

Cortisol Lab Vales

Nursing Care and Pathophysiology for Diabetes Insipidus (DI)

Nursing Care and Pathophysiology for Cushings Syndrome

Nursing Care and Pathophysiology for Hyperthyroidism

Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)

Nursing Care Plan (NCP) for Cushing’s Disease

Nursing Care Plan (NCP) for Diabetes Insipidus

Nursing Care Plan (NCP) for Hypothyroidism

Nursing Care Plan (NCP) for Hyperthyroidism

Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

Pituitary Adenoma

Pituitary Gland

Thyroid Stimulating Hormone (TSH) Lab Values

Growth Hormone (GH) Lab Values

Pituitary Adenoma

Pituitary Gland

Cushing’s Syndrome Case Study (60 min)

Diabetes Insipidus Case Study (60 min)

Diabetes Insipidus Nursing Mnemonic (DDD)

Diabetes Management

Diabetes Mellitus (DM) Module Intro

Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive

Diabetes Mellitus Case Study (45 min)

Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)

Diabetic Ketoacidosis (DKA) Case Study (45 min)

Glipizide (Glucotrol) Nursing Considerations

Glucose Lab Values

Glucose Tolerance Test (GTT) Lab Values

Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Mixtures (70/30)

Insulin – Short Acting (Regular) Nursing Considerations

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Metabolic & Endocrine Module Intro

Metabolic/Endocrine Course Introduction

Metformin (Glucophage) Nursing Considerations

Nursing Care and Pathophysiology for Diabetes Insipidus (DI)

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Nursing Care Plan (NCP) for Cushing’s Disease

Nursing Care Plan (NCP) for Diabetes

Nursing Care Plan (NCP) for Diabetes Insipidus

Nursing Care Plan (NCP) for Diabetes Mellitus (DM)

Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)

Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)

Nursing Case Study for Diabetic Foot Ulcer

Nursing Case Study for Type 1 Diabetes

Pituitary Gland

Protein in Urine Lab Values

Urinalysis (UA)

Addisons Assessment Nursing Mnemonic (STEROID)

Addisons Disease

Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)

Cushing’s Syndrome Case Study (60 min)

Cushings Assessment Nursing Mnemonic (STRESSED)

Nursing Care Plan (NCP) for Cushing’s Disease

Diabetes Insipidus Case Study (60 min)

Diabetes Insipidus Nursing Mnemonic (DDD)

Metabolic/Endocrine Course Introduction

Metabolic & Endocrine Module Intro

Nursing Care and Pathophysiology for Diabetes Insipidus (DI)

Urinalysis (UA)

Nursing Care Plan (NCP) for Diabetes Insipidus

Diabetes Insipidus Case Study (60 min)

Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)

Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

Diabetes Management

Diabetes Mellitus (DM) Module Intro

Diabetic Ketoacidosis (DKA) Case Study (45 min)

DKA Treatment Nursing Mnemonic (KING UFC)

Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)

Nursing Case Study for Type 1 Diabetes

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)

Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)

Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)

Diabetes Management

Diabetes Mellitus (DM) Module Intro

Glucose Lab Values

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Antidiabetic Agents

Blood Glucose Monitoring

Diabetes Management

Diabetes Mellitus Case Study (45 min)

Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)

Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)

Diabetic Ketoacidosis (DKA) Case Study (45 min)

Glipizide (Glucotrol) Nursing Considerations

Glucose Lab Values

Glucose Tolerance Test (GTT) Lab Values

Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)

Hyperkalemia – Management Nursing Mnemonic (AIRED)

Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Insulin – Mixtures (70/30)

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin Mnemonic (Ready, Set, Inject, Love)

Metformin (Glucophage) Nursing Considerations

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)

Nursing Care Plan (NCP) for Diabetes Mellitus (DM)

Nursing Care Plan (NCP) for Diabetes

Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)

Nursing Care Plan (NCP) for Hypoglycemia

Nursing Case Study for Type 1 Diabetes

Corticosteroids

Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)

Nursing Care and Pathophysiology for Cushings Syndrome

Cushings Assessment Nursing Mnemonic (STRESSED)

Cushing’s Syndrome Case Study (60 min)

Addisons Disease

Addisons Assessment Nursing Mnemonic (STEROID)

Cortisol Lab Vales

Cortisone (Cortone) Nursing Considerations

Corticosteroids

Addisons Disease

Cushing’s Syndrome Case Study (60 min)

Cushings Assessment Nursing Mnemonic (STRESSED)

Glucose Lab Values

Nursing Care and Pathophysiology for Cushings Syndrome

Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)

Nursing Care Plan (NCP) for Cushing’s Disease

Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)

Pituitary Adenoma

Glucagon (GlucaGen) Nursing Considerations

Glucagon Lab Values

Nursing Care Plan (NCP) for Hypoglycemia

Antidiabetic Agents

Blood Glucose Monitoring

Diabetes Management

Diabetes Mellitus Case Study (45 min)

Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)

Corticosteroids

Disease Specific Medications

Diabetic Ketoacidosis (DKA) Case Study (45 min)

Glipizide (Glucotrol) Nursing Considerations

Glucose Tolerance Test (GTT) Lab Values

Glucose Lab Values

Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)

Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Mixtures (70/30)

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Insulin Mnemonic (Ready, Set, Inject, Love)

Insulin – Short Acting (Regular) Nursing Considerations

Metformin (Glucophage) Nursing Considerations

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Nursing Care Plan (NCP) for Diabetes

Nursing Care Plan (NCP) for Diabetes Mellitus (DM)

Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)

Nursing Care Plan (NCP) for Hypoglycemia

Nursing Case Study for Type 1 Diabetes

Pituitary Gland

Growth Hormone (GH) Lab Values

Thyroid Stimulating Hormone (TSH) Lab Values

Pituitary Gland

Nursing Care Plan (NCP) for Hyperthyroidism

Free T4 (Thyroxine) Lab Values

Triiodothyronine (T3) Lab Values

Thyroxine (T4) Lab Values

Thyroid Stimulating Hormone (TSH) Lab Values

Pituitary Gland

Nursing Care Plan (NCP) for Hypothyroidism

Nursing Care Plan (NCP) for Hyperthyroidism

Nursing Care and Pathophysiology for Hypothyroidism

Nursing Care and Pathophysiology for Hyperthyroidism

Free T4 (Thyroxine) Lab Values

Nursing Care Plan (NCP) for Hyperthyroidism

Nursing Care and Pathophysiology for Hyperthyroidism

Nursing Care and Pathophysiology for Hypothyroidism

Pituitary Gland

Triiodothyronine (T3) Lab Values

Thyroxine (T4) Lab Values

Thyroid Stimulating Hormone (TSH) Lab Values

Nursing Care and Pathophysiology for Hyperthyroidism

Nursing Care and Pathophysiology for Hyperparathyroidism