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Questions and Answers
What is the class of Glucophage (metformin)?
What is the class of Glucophage (metformin)?
- Analgesic
- Antidiabetic (correct)
- Antihypertensive
- Antibiotic
What is the action of Glucophage (metformin)?
What is the action of Glucophage (metformin)?
Decrease hepatic glucose production and intestinal glucose absorption.
What is the indication for Glucophage (metformin)?
What is the indication for Glucophage (metformin)?
Management of type two diabetes.
What is the route of administration for Glucophage (metformin)?
What is the route of administration for Glucophage (metformin)?
What is the typical dosage for Glucophage (metformin)?
What is the typical dosage for Glucophage (metformin)?
Which of the following are side effects of Glucophage (metformin)? (Select all that apply)
Which of the following are side effects of Glucophage (metformin)? (Select all that apply)
Which substances can interact with Glucophage (metformin)? (Select all that apply)
Which substances can interact with Glucophage (metformin)? (Select all that apply)
Which foods are known to interact with Glucophage (metformin)? (Select all that apply)
Which foods are known to interact with Glucophage (metformin)? (Select all that apply)
For patient teaching, patients should take Glucophage at the same time every day and learn how to take their blood sugar levels the right way. If hypoglycemic, they should have a glass of ______ or 2-3 tsp of sugar.
For patient teaching, patients should take Glucophage at the same time every day and learn how to take their blood sugar levels the right way. If hypoglycemic, they should have a glass of ______ or 2-3 tsp of sugar.
What nursing implications should be monitored when administering Glucophage (metformin)?
What nursing implications should be monitored when administering Glucophage (metformin)?
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Study Notes
Glucophage (metformin) Overview
- Classified as an antidiabetic medication.
- Primarily prescribed for the management of type 2 diabetes.
Mechanism of Action
- Decreases hepatic glucose production.
- Reduces intestinal glucose absorption.
Administration
- Administered orally (PO).
- Common dosage is 500 mg twice daily (bid).
Side Effects
- Can lead to decreased vitamin B12 levels.
- Possible gastrointestinal effects include abdominal bloating and diarrhea.
- Potential for hypoglycemia and lactic acidosis.
Drug Interactions
- Notable interactions with:
- Digoxin
- Alcohol
- Morphine
- Nifedipine
- Ranitidine
Food Interactions
- May interact with supplements and compounds like glucosamine, chromium, and coenzyme.
Patient Education
- Instruct to take medication at the same time each day.
- Inform that metformin controls hyperglycemia but does not cure diabetes.
- Recommended to take with meals to minimize gastrointestinal side effects.
- Teach proper blood sugar monitoring techniques.
- In cases of hypoglycemia, suggest a glass of orange juice or 2-3 teaspoons of sugar.
- Advise on risks for lactic acidosis and signs of severe infection, dehydration, or ongoing diarrhea which may necessitate stopping the medication.
Nursing Implications
- Monitor for signs of lactic acidosis, including chills, diarrhea, dizziness, decreased blood pressure, and heart rate.
- Regularly check blood sugar levels.
- Watch for signs of hypoglycemia in patients.
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