• Nursing consideration for metformin

    considerations Assessment History: Allergy to metformin; diabetes complicated by fever, severe infections, severe trauma, major surgery, ketosis, acidosis, coma; type 1 diabetes, serious hepatic or renal impairment, uremia, thyroid or endocrine impairment, glycosuria, hyperglycemia associated with primary renal disease, CHF, pregnancy. Metformin should be temporarily discontinued in patients surgery in- restricted intake of food and fluids. Resume metformin when oral intakeFile Size: KB. Rarely, metformin may cause an acid health problem (lactic acidosis). The risk is higher in people who have kidney problems, liver problems, heart failure, use alcohol, or take other drugs like topiramate. The risk is also higher in older people (65 or older) and in people who are surgery, an exam or test with contrast, or other / What are the Considerations of Metformin (Glucophage) Pharmacology Considerations? do not use with renal dysfunction, metabolic acidosis may cause diarrhea, nausea, lactic acidosis. This is a community of professional nurses gifted with literary skills who share theoretical and clinical knowledge, tidbits, facts, statistics, healthcare information, news, disease data, care plans, drugs and under the umbrella of. Withhold metformin 48 h before and 48 h after IV contrast dye. Make dose increment, if needed, at 2- to 3-wk intervals. Store at 15°–30° C (59°–86° F). Adverse Effects (1%) CNS: Headache, dizziness, agitation, fatigue. Metabolic: Lactic acidosis. CONSIDERATIONS - Metformin is the drug of choice for overweight patients for whom has not controlled diabetes. Can also be used in patients who are not overweight and when diabetes cannot be controlled with sulphonylurea treatment. - Advantages include lower incidence of weight gain.
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