Name of Drug Classification Dose/Freq/Route Mechanism of Action Indication Side effect Nursing Implication

Apidra Anti-Diabetic Give if CBG>180 Insulins lower blood Type 1 diabetes (in Hypoglycemia Assess patient for signs
glucose by adults and children) Insulin resistance and symptoms of
4/SC/Q8 stimulating and type 2 diabetes Lipodystrophy hypoglycemia (anxiety;
peripheral glucose (in adults). Lipohypertrophy restlessness; tingling in
uptake by skeletal Local allergic rxn hands, feet, lips, or
muscle and fat, and Hypokalemia tongue; chills; cold
by inhibiting hepatic sweats; confusion; cool,
glucose production pale skin; difficulty in
concentration;
drowsiness; nightmares
or trouble sleeping;
excessive hunger;
headache; irritability;
nausea; nervousness;
tachycardia; tremor;
weakness; unsteady
gait)

Monitor body weight

periodically. Changes in
weight may necessitate
changes in insulin dose

Assess patient for signs

of allergic reactions
(rash, shortness of
breath, wheezing, rapid
pulse, sweating, low BP)
during therapy