Lantus

NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name

Trade Name Lantus

Insulin glargine

Peak 5 hrs.

Classification

Dose 67 units

Anti-diabetics, hormones

Onset 1.1 hour

Duration 24 hrs

Why is your patient getting this medication

Route SQ

Time/frequency QHS

Normal dosage range 0.5-1 unit/kg/day

TX of Diabetes Mellitus II

For IV meds, compatibility with IV drips and/or solutions N/A

Mechanism of action and indications (Why med ordered)

Nursing Implications (what to focus on) Contraindications/warnings/interactions

Lower blood glucose by stimulating glucose uptake in skeletal muscle and fat, inhibiting hepatic glucose production. Indicated in tx of diabetes mellitus.

Hypoglycemia, allergy or hypersensitivity. Use cautiously during stress and infection.

Common side effects lipodystrophy

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Thyroid preperations

Lab value alterations caused by medicine May cause decreased serum inorganic phosphate, magnesium, and potassium levels.

Be sure to teach the patient the following about this medication Instruct pt and family on administration technique. Explain that this controls hyperglycemia, but does not cure diabetes. Instruct pt in proper testing of blood sugar and ketones. Emphasise the importance of diet and regular exercise. Instruct pt on signs and symptoms of hypoglycemia. Diabetics should carry a source of sugar incase this happens.

Nursing Process- Assessment (Pre-administration assessment) Assess for s/s of hyper and hypo glycemia

Assessment Why would you hold or not give this med? If signs of severe hypoglycemia exist. If the pt is experiencing severe hyperglycemia, it may be necessary to administer a shorter acting insulin.

Evaluation Check after giving Control of blood glucose levels