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Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
Alcohol; iodinated contrast media; amiloride; digoxin;
morphine; procainamide; quinidine; ranitidine; triamterene;
trimethoprim; CCBs; vancomycin; climetidine; furosemide; Be sure to teach the patient the following about this medication
nifedipine; Natural (glucosamine; chromium; Take at same time everyday; follow diet; exercise; sign of hypoglycemia (take
coenzyme Q-10 a glass of OJ etc…); and hyperglycemia; proper testing of blood glucose levels;
risk of lactic acidosis and discontinuation of med; avoid taking other meds that
interact; alcohol; pregnancy; may cause unpleasant taste; XR inactive ingreds.
may show in stool; carry form a sugar; report GI problems.
Nursing Process - Assessment Assessment Evaluation
(Pre-administration assessment Why would you hold or not give Check after giving
vital signs; signs and symptoms of hypoglycemic this med? Control of blood glucose levels without the
reactions; when combine with oral sulfonylureas ketoacidosis or lactic acidosis appearance of hypoglycemic or
assess for ketoacidosis or lactic acidosis. hyperglycemis episodes. May take a few days
for therapeutic effect; if no effect, sulfonylurea
may be added, if still no results patient may
then be put on insulin therapy.