INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

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

Generic Trade Classification Dose Route Time/Frequency
Name Name hormones 10 units Subcut Once daily (initiation)
insulin glargine Lantus then
2-100 units Subcut daily

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
5 hour within 1 hour 24 hours
Why is your patient taking this medication?

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

Once-daily treatment of diabetes mellitus Contraindications/warnings/interactions allergy; stress; pregnancy;
infection; renal/hepatic impairment (may decrease insulin requirements);
Control of blood glucose in diabetic patients Geriatric patients; Children.

Common side effects Hypoglycemia; lipodystrophy (lipoatrophy and

lipohypertropy); pruritus; rash; allergic reactions

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
Beta blockers; clonidine; reserpine; Thiazide diuretics; corticosteroids;
danazol; diltiazem; dobutamine; thyroid preparations; estrogens;
isoniazid; nicotine; phenothiazines; progesterone; protease inhibitor;
Be sure to teach the patient the following about this medication
antriretrovirals; somatropin; thyroid hormones; sympathomemetic Proper technique for administration;
agents; rifampin; testosterone; alcohol; ACE inhibitors; clofbrate; rotation of sites; opened vials dicarded 1 month after opening; rolling vial rather
disopyramide; fluoxetine; MAOIs; NSAIDS; octreotide; oral than shaking; proper testing of glucose levels; exercise; diet; alcohol use;
hypoglycemic agents; propoxyphene; sulfinpyraxozone; drug interactions; signs and symptoms of hypoglycemia and hyperglycemia;
salicylates; tetracyclines; phenylbutazone; warfarin. pregnancy; carry a source of sugar; ID braclet; Regular doctor follow-ups.
Nursing Process - Assessment Assessment Evaluation
(Pre-administration assessment Why would you hold or not give Check after giving
Take vitals; symptoms of hypoglycemia and this med? Control of blood glucose levels without the
hyperglycemia. Hypoglycemia appearance of hypolycemic or
Monitor body weight periodically hyperglycemic episodes