Insulin Flargine (lantus)

INDEX Generic Name insulin glargine

Trade Name Lantus

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency hormones 10 units Subcut Once daily (initiation) then 2-100 units Subcut daily

Peak Onset 5 hour within 1 hour Why is your patient taking this medication? Mechanism of action and indications Once-daily treatment of diabetes mellitus Control of blood glucose in diabetic patients

Duration 24 hours

For IV meds, compatability with IV drips and/or solutions

Nursing Implications (what to focus on) Contraindications/warnings/interactions allergy; stress; pregnancy; infection; renal/hepatic impairment (may decrease insulin requirements); Geriatric patients; Children.

Common side effects Hypoglycemia; lipodystrophy (lipoatrophy and lipohypertropy); pruritus; rash; allergic reactions

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine medicines (ask patient specifically) Beta blockers; clonidine; reserpine; Thiazide diuretics; corticosteroids; danazol; diltiazem; dobutamine; thyroid preparations; estrogens; isoniazid; nicotine; phenothiazines; progesterone; protease inhibitor; Be sure to teach the patient the following about this medication antriretrovirals; somatropin; thyroid hormones; sympathomemetic Proper technique for administration; agents; rifampin; testosterone; alcohol; ACE inhibitors; clofbrate; rotation of sites; opened vials dicarded 1 month after opening; rolling vial rather disopyramide; fluoxetine; MAOIs; NSAIDS; octreotide; oral than shaking; proper testing of glucose levels; exercise; diet; alcohol use; hypoglycemic agents; propoxyphene; sulfinpyraxozone; drug interactions; signs and symptoms of hypoglycemia and hyperglycemia; salicylates; tetracyclines; phenylbutazone; warfarin. pregnancy; carry a source of sugar; ID braclet; Regular doctor follow-ups. Nursing Process - Assessment Assessment Evaluation (Pre-administration assessment Why would you hold or not give Check after giving Take vitals; symptoms of hypoglycemia and this med? Control of blood glucose levels without the hyperglycemia. Hypoglycemia appearance of hypolycemic or Monitor body weight periodically hyperglycemic episodes