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