Question

Drug name- Metformin, clomiphene, amlodipine, enalapril maleate, gabapentin

I would like to know about medication classification, name of common medication in this classification, major action, common side effects, why client is taking this drug, Is these drug is working for this client( must include the rational with proof(lab work, charting documentation), what action the nurse take when monitoring the client, nursing assessment of drug's effectiveness, teaching about medications, important information relating to this drug on discharge. Thank you.

Answer 1

METFORMIN; * CLASSIFICATION UNDER - BIGUANIDES * COMMON MEDICATION- GLUCOPHAGE, GLUCOPHAGE X R * MAJOR ACTION- DECREASES HEPATIC GLUCOSE PRODUCTION AND INTESTINAL ABSORPTION, AND IMPROVE INSULIN SENSITIVITY BY INCREASING THE UTILIZATION AND UPTAKE OF PERIPHERAL GLUCOSE. * COMMON SIDE EFFECTS- VOMITING, NAUSEA, FATIGUE, DIARRHEA, ABDOMINAL PROBLEMS, METALLIC TASTE IN MOUTH * WHY CLIENT IS TAKING THIS DRUG- FOR TREATMENT OF HIGH BLOOD SUGAR IN TYPE 2 DM. * IS THESE DRUG IS WORKING FOR THIS CLIENT IDENTIFIED BY; _ CHECKING OF BLOOD OR URINE SUGAR IN NORMAL LEVEL _ CHECKING HBA1C LEVEL- METFORMIN TREATMENT ACHIEVE BETTER HBA1C LEVEL WITHIN 6 MONTHS REDUCED BY 1.2% CARDIO VASCULAR EVENTS. * NURSES ACTION IN; _ MONITORING THE CLIENT FOR ANY SIDE EFFECTS OF METFORMIN - ASSESS THE VITAMIN B12- THERE IS A CHANCE OF DEFICIENCY BY TAKING METFORMIN _ ASSESS THE SERUM CREATININE LEVEL- CONTRAINDICATED FOR HIGH LEVEL OF CREATININE _ MONITORING THE CARDIOPULMONARY STATUS _ ASSESS THE BLOOD AND URINE GLUCOSE LEVEL AND HBA1 C * TEACHING ABOUT MEDICATION AND DISCHARGE ADVICE _ METFORMIN SHOULD BE TAKEN WITH MEALS TO REDUCE STOMACH UPSET. _ SWALLOW THE TABLET WITH ONE GLASS OF WATER. _ DO NOT CRUSH, BREAK, OR CHEW IT IT CAN LEADS TO OVERDOSE MAY CAUSE HYPOGLYCEMIA. _ AVOID HIGH FIBRE DIET WITH METFORMIN BECAUSE FIBER BIND WITH METFORMIN AND LOWER THE EFFECT. _ REGULAR CHECK UP OF BLOOD SUGAR IS VERY ESSENTIAL. _ TAKE MEDICINE REGULARLY.