ACTIVE LEARNING TEMPLATE:
Medication
Natalie Burklow
STUDENT NAME______________________________________
Metformin (Glucophage)
MEDICATION___________________________________________________________________________
REVIEW MODULE CHAPTER____________
CATEGORY CLASS__Biguanidies
_____________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action
Reduces the production of glucose within the
liver through suppression of
gluconeogenesisIncreases glucose uptake
and use in fat and skeletal muscles
Therapeutic Use
Antidiabetic agents control blood glucose
levels in clients who have type 2 diabetes
mellitus and are used in conjunction with diet
and exercise lifestyle changes. treat PCOS
Complications
Gastrointestinal effects like anorexia nausea and diarrhea
which may result in weight loss.
Vitamin B12 and folic acid deficency
Lactic acidosis
Contraindications/Precautions
Pregnacy Risk Category B. Metformin in contraindicated
for clients who have severe infection, shock, kidney
impairment and any hypoxic conditon.The medication
should not be used by client who have alcohol use
disorder. Safety during pregnancy and lacation is unknown
Interactions
Medication Administration
PO
Nursing Interventions
Instruct Clients to take
immediate release tablets two
time per day with breakfast and
dinner and to take sustained
release tablets once daily with
dinner
Alcohol or cimetidine can increase the risk of lactic
acidosis with concurrent use.
Concurrent use of iodine containing contrast media can
result in acute kidney faliure
Client Education
Evaluation of Medication Effectiveness
Blood glucose valves lowers
ACTIVE LEARNING TEMPLATES
Avoid consuming alcohol.
Excercise consistently and
follow appropriate dietary
guidlines. Maintain a log of
glucose levels and note
patterns that affect glucose
levels
Therapeutic Procedure
A7