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NURS 2516 Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency


regular insulin Humulin R antidiabetics 24 units Sub q 0600, 1800 BID
(BS-100)/30 Sub q 0600, 1100, 1600, 2100 AC & HS
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
2-4 hr 30-60 min 5-7 hr

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


(Why med ordered) Contraindications/warnings/interactions
Lower blood glucose by increasing transport into cells and Allergy or hypersensitivity to a particular type of insulin,
promoting the conversion of glucose to glycogen preservatives, or other additives, Stress,
Promote the conversion of amino acids to proteins in muscle infection (temporarily increase insulin requirements)
and stimulate triglyceride formation Common side effects
Inhibit the release of free fatty lipdystrophy
acids

DM II
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May cause ↓ serum inorganic phosphate, magnesium, and
potassium levels
Be sure to teach the patient the following about this
medication
Instruct patient on proper technique for administration. Include
type of insulin, equipment (syringe, cartridge pens, external
pumps, alcohol swabs), storage, and place to discard syringes.
Discuss the importance of not changing brands of insulin or
syringes, selection and rotation of injection sites, and compliance
with therapeutic regimen
Explain to patient that this medication controls hyperglycemia but
does not cure diabetes. Therapy is long term
Emphasize the importance of compliance with nutritional
guidelines and regular exercise as directed by health care
professional
Advise patient to notify health care professional of medication
regimen prior to treatment or surgery
Advise patient to notify health care professional if nausea,
vomiting, or fever develops, if unable to eat regular diet, or if blood
glucose levels are not controlled
Instruct patient on signs and symptoms of hypoglycemia and
hyperglycemia and what to do if they occur
Patients with diabetes mellitus should carry a source of sugar
(candy, sugar packets) and identification describing their disease
and treatment regimen at all times
Emphasize the importance of regular follow-up, especially during
first few weeks of therapy
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
AccuCheck, med? Control of blood glucose levels
Assess for signs and symptoms of hypoglycemia hypoglycemia without the appearance of
(anxiety; chills; cold sweats; confusion; cool, pale hypoglycemic or hyperglycemic
skin; difficulty in concentration; drowsiness; episodes
excessive hunger; headache; irritability; nausea;
nervousness; rapid pulse; shakiness; unusual
tiredness or weakness) and hyperglycemia
(drowsiness; flushed, dry skin; fruit-like breath
odor; frequent urination; loss of appetite;
tiredness; unusual thirst) periodically during
therapy
Monitor body weight periodically. Changes in
weight may necessitate changes in insulin dose