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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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Test Plan

Concepts Covered:

Study Plan Lessons

03.02 Diabetes Insipidus for CCRN Review

03.04 DKA vs HHNK for CCRN Review

09.05 Chronic Renal Failure for CCRN Review

ACE (angiotensin-converting enzyme) Inhibitors

Adult Vital Signs (VS)

Albuterol (Ventolin) Nursing Considerations

Alpha-fetoprotein (AFP) Lab Values

Amputation Concept Map

Angiotensin Receptor Blockers

Antepartum Testing

Antidiabetic Agents

Atenolol (Tenormin) Nursing Considerations

Atypical Antipsychotics

Blood Glucose Monitoring

Blood Urea Nitrogen (BUN) Lab Values

Bloom’s Taxonomy

Bronchodilators

Cholesterol (Chol) Lab Values

Congenital Heart Defects (CHD)

Congestive Heart Failure Concept Map

Coronavirus (COVID-19) Nursing Care and General Information

Creatinine Clearance Lab Values

Cushing’s Syndrome Case Study (60 min)

Cystic Fibrosis (CF)

Day in the Life of a Med-surg Nurse

Dementia and Alzheimers

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 for Progressive Care Certified Nurse (PCCN)

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

Diabetic Emergencies for Certified Emergency Nursing (CEN)

Diabetic Ketoacidosis (DKA) Case Study (45 min)

Encephalopathy (Hypoxic-ischemic, Metabolic, Infectious, Hepatic) for Progressive Care Certified Nurse (PCCN)

Enteral & Parenteral Nutrition (Diet, TPN)

Fluid Shifts (Ascites) (Pleural Effusion)

Fluid Volume Deficit

General Anesthesia

Gestational Diabetes (GDM)

Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive

Glipizide (Glucotrol) Nursing Considerations

Glomerular Filtration Rate (GFR)

Glucose Lab Values

Glucose Tolerance Test (GTT) Lab Values

Growth & Development – Middle Adulthood

Growth & Development -Transitioning to Adult Care

Heart Failure for Certified Emergency Nursing (CEN)

Hemoglobin A1c (HbA1C)

Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)

Hypernatremia – Causes Nursing Mnemonic (MODEL)

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Mixtures (70/30)

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

Key Nutrients in the Prevention of Chronic Disease

Lipase Lab Values

Maternal Risk Factors

Metabolic & Endocrine Module Intro

Metabolic Acidosis (interpretation and nursing diagnosis)

Metabolic/Endocrine Course Introduction

Metformin (Glucophage) Nursing Considerations

Multiple Myeloma

Myocardial Infarction (MI) Case Study (45 min)

Nursing Care and Pathophysiology for Diabetes Insipidus (DI)

Nursing Care and Pathophysiology for Ischemic Stroke (CVA)

Nursing Care and Pathophysiology for Male Infertility

Nursing Care and Pathophysiology of Angina

Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Nursing Care and Pathophysiology of Glomerulonephritis

Nursing Care and Pathophysiology of Nephrotic Syndrome

Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)

Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage

Nursing Care Plan (NCP) for Angina

Nursing Care Plan (NCP) for Anxiety

Nursing Care Plan (NCP) for Arterial Disorders

Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)

Nursing Care Plan (NCP) for Brain Tumors

Nursing Care Plan (NCP) for Celiac Disease

Nursing Care Plan (NCP) for Cellulitis

Nursing Care Plan (NCP) for Cholecystitis

Nursing Care Plan (NCP) for Chorioamnionitis

Nursing Care Plan (NCP) for Chronic Kidney Disease

Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate

Nursing Care Plan (NCP) for Congenital Heart Defects

Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)

Nursing Care Plan (NCP) for Cushing’s Disease

Nursing Care Plan (NCP) for Cystic Fibrosis

Nursing Care Plan (NCP) for Dehydration & Fever

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 Fluid Volume Deficit

Nursing Care Plan (NCP) for Gestational Diabetes (GDM)

Nursing Care Plan (NCP) for Glaucoma

Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis

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

Nursing Care Plan (NCP) for Hypoglycemia

Nursing Care Plan (NCP) for Hypovolemic Shock

Nursing Care Plan (NCP) for Mastitis

Nursing Care Plan (NCP) for Meconium Aspiration

Nursing Care Plan (NCP) for Myocardial Infarction (MI)

Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia

Nursing Care Plan (NCP) for Nephrotic Syndrome

Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida

Nursing Care Plan (NCP) for Newborns

Nursing Care Plan (NCP) for Nutrition Imbalance

Nursing Care Plan (NCP) for Omphalocele

Nursing Care Plan (NCP) for Polycystic Ovarian Syndrome (PCOS)

Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)

Nursing Care Plan (NCP) for Preterm Labor / Premature Labor

Nursing Care Plan (NCP) for Schizophrenia

Nursing Care Plan (NCP) for Sepsis

Nursing Care Plan (NCP) for Transient Tachypnea of Newborn

Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)

Nursing Care Plan for Amputation

Nursing Care Plan for Coronary Artery Disease (CAD)

Nursing Case Study for Cardiogenic Shock

Nursing Case Study for Diabetic Foot Ulcer

Nursing Case Study for Type 1 Diabetes

Nutrition (Diet) in Disease

Nutrition Assessments

Nutrition-related Diseases

Peripheral Vascular Assessment

Phenobarbital (Luminal) Nursing Considerations

Pituitary Gland

Potassium-K (Hyperkalemia, Hypokalemia)

Propranolol (Inderal) Nursing Considerations

Protein in Urine Lab Values

Red Cell Distribution Width (RDW) Lab Values

Renal Calculi for Certified Emergency Nursing (CEN)

Renal Failure- Acute Kidney Injury (AKI), Chronic Kidney Disease (CKD) for Progressive Care Certified Nurse (PCCN)

SBAR Practice Scenarios

Science of Nutrition

Stroke (CVA) Management in the ER

Stroke Concept Map

Stroke for Certified Emergency Nursing (CEN)

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

Tenet 3 Why Behind the What

Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)

Urinalysis (UA)

Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)

Vasopressin (Pitressin) Nursing Considerations

What the Heck is Antepartum Testing? – Live Tutoring Archive

Wounds (Infectious, Surgical, Trauma) for Progressive Care Certified Nurse (PCCN)