Metformin Flashcards
Metformin normal dosage
500mg bid
Metformin
Trade name and class
Glucophage
Antidiabetic biguanide
Metformin indications
Management of type two diabetes
Metformin physiologic action
Inhibits glycogenolysis and increases sensitivity to insulin
Metformin side effects
G.I. upset and lactic acidosis
Metformin nursing implications
Monitor serum glucose and hemoglobin A-1 C
Assess renal function before and during treatment
Hold metformin 48 hours before contrast media
Administer with meals
May cause false positive ketones
Metformin teaching
Review signs and symptoms of hypo-hyperglycemia
Patient should be monitoring blood sugar
Avoid alcohol
Metformin contraindications
Metabolic acidosis, dehydration, hepatic impairment