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NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Trade Name Classification Dose Route Time/frequency

Name Lantus Anti-diabetics, 67 units SQ QHS
Insulin hormones
Peak Onset Duration Normal dosage range
5 hrs. 1.1 hour 24 hrs 0.5-1 unit/kg/day

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
TX of Diabetes Mellitus II N/A

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
Lower blood glucose by stimulating glucose uptake in skeletal Hypoglycemia, allergy or hypersensitivity. Use cautiously during stress
muscle and fat, inhibiting hepatic glucose production. Indicated and infection.
in tx of diabetes mellitus. Common side effects

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May cause decreased serum inorganic phosphate, magnesium, and
Thyroid preperations potassium levels.
Be sure to teach the patient the following about this
Instruct pt and family on administration technique. Explain that this
controls hyperglycemia, but does not cure diabetes. Instruct pt in proper
testing of blood sugar and ketones. Emphasise the importance of diet and
regular exercise. Instruct pt on signs and symptoms of hypoglycemia.
Diabetics should carry a source of sugar incase this happens.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess for s/s of hyper and hypo glycemia med? Control of blood glucose levels
If signs of severe hypoglycemia exist. If the pt
is experiencing severe hyperglycemia, it may
be necessary to administer a shorter acting