Rez Gioz P.

Apego
January 23, 2014
N-40
Patients name: Antonieto, Buron

Name of
Drug
Generic
Name:
metformin
hydrochlori
de
Trade
Name:
Glucophag
e, Glucoph
age XR
Availabilit
y:
Tablets
500, 850,
1,000 mg;
ER tablets
500 mg

Classificati Mechanism of
on of Drug
Action
Therapeuti Exact
c:
mechanism is
Antidiabetic not understood;
possibly
Pregnancy increases
Category
peripheral
B
utilization of
glucose,
decreases
hepatic glucose
production and
alters intestinal
absorption of
glucose.

Indication
Adjunct to diet to
lower blood
glucose with type 2
(noninsulindependent)
diabetes mellitus in
patients

Contraindicat
ions
Contraindicate
d with allergy

to metformin;
CHF; diabetes
complicated by
fever, severe

infections,
severe trauma,
major surgery,
ketosis,
acidosis, coma
(use insulin);
type 1 (insulindependent),

serious hepatic
impairment,
serious renal
impairment,
uremia, thyroid
or endocrine
impairment, gl
ycosuria,
hyperglycemia
associated
with primary
renal disease;

Side Effects

Nursing
Responsibilities

Endocrine: Hy o History: Allergy

to metformin;
poglycemia, lac
diabetes
tic acidosis
complicated by
fever, severe
GI: Anorexia,
infections, severe
nausea, vomitin
trauma, major
g, epigastric dis
surgery, ketosis,
comfort,
acidosis, coma; type
heartburn,
1 diabetes, serious
diarrhea, flatule
hepatic or renal
nce
impairment, uremia,
thyroid or endocrine
Hypersensitivi
impairment, glycosu
ty: Allergic skin
ria, hyperglycemia
reactions, ecze
associated with
ma, pruritus, er
primary renal
ythema, urticari
disease, CHF,
a
pregnancy,
lactation.

Do not discontinue
this medication
without consulting
your health care
provider.

o Monitor urine or
blood for glucose
and ketones as
prescribed.
o Swallow ER tablets
whole; do not cut,
crush, or chew.
o Do not use this drug
during pregnancy; if
you become
pregnant, consult

Chief complaint: Right cerebral tumor left sided weakness