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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 Antidiabetics
NPH insulin Humulin-NPH hormones 0.5-1 unit/kg Subcut daily

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
4-12 hr 1-2 hr 18-24 hr
Why is your patient taking this medication?

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


Management of diabetes mellitus Contraindications/warnings/interactions
Hypoglycemia; hypersensitivity; Use cautiously in: Stress; pregnancy; infection
Control of blood glucose in diabetic patients Renal/hepatic impairment; geriatric patients

Common side effects


Urticaria; Hypoglycemia; lipodystrophy; itching; redness; swelling;
allergic reactions

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
Beta blockers; Thiazide diuretics; corticosterioids; diltiazem;
dobutamine; thyroid preparations; estrogens; nicotine;
protease inhibitor antiretrovirals; rifampin; anabolic steroids; Be sure to teach the patient the following about this medication
(testosterone); alcohol; clofibrate; MAO inhibitors; NSAIDS Demonstrate mixing of insulins; proper technique for administration;
oral hypoglycemic agents; sulfinpyrazone; tetracyclines; rotation of sites; opened vials dicarded 1 month after opening; rolling vial rather
phenylbutazone; warfarin. than shaking; proper testing of glucose levels; exercise; diet; alcohol use;
Natural Drugs: Glucosamine; Fenugreek; chromium; drug interactions; signs and symptoms of hypoglycemia and hyperglycemia;
coenzyme Q-10 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 hypoglycemic or
Monitor body weight periodically hyperglycemic episodes