PATIENT : CB - undergone surgical removal of ovarian cyst, diagnosed with type 2 diabetes.

DRUG NAME DOSE & ROUTE

DRUG
CLASSIFICATION
INDICATION SIDE EFFECTS NURSING RESPONSIBILITY
Atorvastatin
(Lipitor)

40 mg - OD QHS
PREPARATIONS: Tablets
of 10, 20, 40, and 80 mg
ORAL ADMINISTRATION


Statins is an oral drug that
lowers the level of
cholesterol in the
blood.

prevent the
production of
cholesterol in the
liver by blocking
HMG-CoA
reductase, an
enzyme that
makes cholesterol.

Atorvastatin is
used along with
diet, exercise, and
weight loss to
reduce the risk of
heart attack and
stroke and to
decrease the
chance that heart
surgery will be
needed in people
who have heart
disease or who are
at risk of
developing heart
disease.
Diarrhea,
constipation,
gas, headache,
joint pain,
forgetfulness or
memory loss,
confusion

Obtain liver function tests as a
baseline and periodically during
therapy; discontinue drug if AST or
ALT levels increase to 3 times normal
levels.
WARNING: Withhold atorvastatin in
any acute, serious condition (severe
infection, hypotension, major surgery,
trauma, severe metabolic or
endocrine disorder, seizures) that
may suggest myopathy or serve as
risk factor for development of renal
failure.
Ensure that patient has tried
cholesterol-lowering diet regimen for
36 mo before beginning therapy.
Administer drug without regard to
food, but at same time each day.
Atorvastatin may be combined with a
bile acidbinding agent. Do not
combine with other HMG-
CoA reductase inhibitors or fibrates.
Consult dietitian regarding low-
cholesterol diets.
WARNING: Ensure that patient is not
pregnant and has appropriate
contraceptives available during
therapy; serious fetal damage has
been associated with this drug.

Glimepiride
(Amaryl)
1mg - pre-breakfast OD
PREPARATIONS: Tablets:
1, 2, and 4 mg
ORAL ADMINISTRATION
Sulfonylurea is indicated as an
adjunct to diet and
exercise to
improve glycemic
control in adults
with type 2
diabetes mellitus

adjunct to diet to
lower glucose level
in patients with
type 2 diabetes


diarrhoea,
constipation,
nausea,
vomiting or
abdominal
pain, weight
gain, Allergic
skin reactions
such as rash or
itching, Low
blood sugar
(hypoglycaemia
)

tell the patient to take drug with first
meal of the day.
Make sure patient understands that
therapy relieves symptoms but
doesnt cure the disease. He/she
should also understand potetinal risk
and advantages of taking drug and of
other treatment methods.
Stress importance of adhering to diet,
weight reduction, exercise and
personal hygiene programs.
Advise patient to wear or carry
medical identification at all times
Advise woman to consult prescriber
before planning pregnancy.

Metformin
(Glucophage)
500 mg - TID after meals
PREPARATIONS: Tablets:
500, 850, and 1000 mg.
Tablets (extended
release): 500, 750, and
1000 mg. Solution: 500
mg/5 ml
ORAL ADMINISTRATION

Biguanide Metformin should
be taken with
meals to help
reduce stomach or
bowel side effects
that may occur
during the first few
weeks of
treatment.
Swallow the
extended-release
tablet whole with a
full glass of water.
Do not crush,
break, or chew it.
The most
common side
effects with
metformin are
nausea,
vomiting, gas,
bloating,
diarrhea and
loss of appetite.
Instruct patient about nature of
diabetes and importance of the
following therapeutic regimens,
adhering to specific diet, losing
weight, getting exercise, following
personal hygiene programs, and
avoiding infection.
Explain how and when to monitor
glucose level
Teach evidence of high and low
glucose levels
While taking the
extended-release
tablet, part of the
tablet may pass
into your stool
after your body
has absorbed the
medicine. This is
normal and
nothing to worry
about.