NURS 3460 Diabetes Mellitus Medication Table - 2021 | UPDATED

NURS 3460 Diabetes Mellitus Medication Table - UPDATED Diabetes Mellitus Medication Table This table will make you able to “Go with your GUT ASAP!” Group / Class (Prototype) Use Therapeutic Effects Adverse Effects Safety Concerns Administration Patient Education Insulin Used for glycemic control & prevention of complications Cellular glucose uptake, glucose  glycogen conversion, potassium uptake Hypoglycemia: BLG <70 mg/d:L - Too much insulin or stress/activity - Too little food - Monitor BGL, symptoms (SNS or PNS) - Give glucose! Hypoglycemia is a contraindication Sulfonylureas, meglinitides, beta blockers, and alcohol: hypoglycemic effects; monitor and adjust Administered subq Dose should align with needs (” sliding scale”) Glucose available at onset and peak Mixing protocol Administer in one area but rotate sites; thigh>upper arm>abdomen Use insulin- specific syringes with appropriate needle Hypokalemia: risk for large doses; monitor for symptoms Lipohypertrophy: injection site complication; rotate and distance injections Thiazide diuretics & glucocorticoids: counteract insulin; monitor and adjust Beta blockers: mask hypoglycemia symptom; impair gluconeogenesis - Monitor BGL; do not rely on symptoms - Schedule meals and snacks NPH/premixed = cloudy; regular/short = clear Glargine & detemir: clear; no IV or mixing IV administration: usually regular insulin; aspart, glulasine & lisrpo are also safe Waste 50 mL of IV solution Insulin Storage: Unopened in fridge up to 3 months or expiration date Diet & exercise help! Extra care with betablockers Wear alert bracelet Keep snacks handy - - -