Drug Study
Drug Study
Drug Study
of Action Responsibilities
Generic Name: Antidiabetic 30 min. Increases Treatment of Contraindicated Hypersensitivity: Assessment
Insulin Hormone AC glucose type 1 (insulin- with allergy to pork Rash, anaphylaxi
History: Allergy to
(Regular ) transport dependent) products (varies s or angioedema
pork products;
across muscle diabetes with preparations; Local: Allergy—
Physical: Skin color,
Brand Name: and fat cell Treatment of human insulin not local reactions at
lesions;
Humulin R membranes to type 2 (non– contraindicated injection site—
eyeball turgor;
reduce insulin- with pork allergy). redness,
orientation, reflexes,
glucose level. dependent) swelling, itching;
peripheral sensation,
Promotes diabetes that Contraindicated in usually resolves
BP, adventitious
conversion of cannot be hypoglycemia and in a few days to
sounds; adventitious
glucose into controlled by in patients a few weeks; a
sounds; urinalysis,
its storage diet or oral hypersensitive to change in type or
blood glucose
form, agents insulin or its species source of
glycogen Regular insulin ingredients. insulin may be
Interventions
(Williams & injection: tried;
1. Assess patient’s
Wilkins, 2009, Treatment of Drug-drug: AIDS lipodystrophy;
glucose level before
page 689) severe ketoacid antiretrovirals, pruritus
starting therapy and
osis or diabetic corticosteroids, Metabolic: Hypogl
regularly thereafter. If
coma dextrothyroxine, ycemia; ketoacid
patient is under stress,
Treatment epinephrine, osis
unstable, pregnant,
of hyperkalemia thiazide diuretics
recently diagnosed, or
with infusion of may increase
taking drugs that can
glucose to insulin response.
interact with insulin,
produce a shift Beta blockers may
monitor level more
of potassium conceal signs of
frequently.
into the cells hypoglycemia.
Highly purified 2. Monitor patient’s
and Hormonal
glycosylated
human insulins p contraceptives may
hemoglobin level
romoted for decrease glucose
regularly.
short courses of tolerance, monitor
therapy glucose level and
3. Monitor urine ketone
(surgery, intercu adjust insulin
level when glucose level
rrent disease), dosage carefully.
is elevated.
newly diagnosed (Williams &
Wilkins, 2009, page
patients, 690) 4. Be alert for adverse
patients with reaction and drug
poor metabolic interactions.
control, and
patients with 5. Monitor injection
gestational sites for local reactions.
diabetes
Insulin injection 6. Assess patient and
concentrated: family’s knowledge of
Treatment of drug therapy.
diabetic patients
with marked Teaching points
insulin Use the same type
resistance and brand of syringe;
(requirements use the same type
of > and brand of insulin
200 units/day) to avoid dosage
Glargine errors.
(Lantus): Do not change the
Treatment of order of
adult patients mixing insulins.
with type 2 Rotate injection sites
diabetes who regularly (keep a
require basal chart) to prevent
insulin control of breakdown at
hyperglycemia injection sites.
Treatment of adults Dosage may vary with
and children > 6 yr activities, stress, diet.
who require Monitor blood or
baseline insulin urine glucose levels,
control and consult physician
if problems arise.
Monitor urine or
blood for glucose
and ketones as
prescribed.
Wear a medical alert
tag stating that you
have diabetes and are
taking insulin so that
emergency medical
personnel will take
proper care of you.
Avoid alcohol;
serious reactions can
occur.
Report fever, sore
throat, vomiting,
hypoglycemic or
hyperglycemic
reactions, rash.
Generic Name: Anti-infective, 500 BID Is primarily a To reduce the Hypersensitivity to Adverse effects: Pre-administration
Doxycycline tetracycline bacteriostatic. development of any of the CNS: benign Check doctor’s
It enters the drug-resistant tetracyclines. intracranial order
gram negative bacteria and hypertension Observe 10 Rs
bacteria by maintain the Children less than 8 (higher in Intra-administration
passive effectiveness of years of age. children) Administer 1 hr or
diffusion DORYX and other GI: esophagitis, 2 hrs after meals.
through the antibacterial drugs, Pregnancy and hepatotoxicity, May be taken with
porin channels DORYX should be lactation pancreatitis. food if GI irritation
and gram used only to treat Derm: rashes occurs
positive or prevent Porphyria Hemat: blood Administer with a
channels and infections that are dyscrasias. full glass of liquid
gram positive proven or strongly Severe hepatic Local: phlebitis at and at least 1 hr
bacteriaand suspected to be dysfunction IV site. before going to bed
other caused by Misc: to avoid
organisms by susceptible hypersensitivity esophageal
energy- bacteria. When reactions, ulceration.
dependent culture and superinfection. Avoid
active susceptibility Side effects: administration of
transport. It is information are GI: diarrhea, calcium, zinc,
concentrated available, they nausea, vomiting antacids,
intracellularly should be Derm: magnesium- or
by vulnerable considered in photosensitivity aluminum-
cells. selecting or containing
Tetracyclines modifying medications,
after entering antibacterial sodium
the cell are therapy. In the bicarbonate, or
bound absence of such iron supplements
reversibly to data, local within 1-3 hr of
the 30S epidemiology and oral tetracyclines.
subunit of the susceptibility
ribosomes of patterns may Post administration:
bacteria. Here contribute to the Document
the empiric selection of Observe for adverse
aminoacyl- therapy. reactions
tRNA is
prevented
from attaching
to the
acceptor site
which is
present on the
ribosomal
complex of
mRNA. This
leads to
inhibition of
the process of
adding amino
acids to the
emerging
Periodically measure
HbA1c levels
Increase frequency of
glucose monitoring in
patients who are
acutely ill or under
emotional stress, or if
changes in diet,
exercise, or medication
regimen occur, as these
may affect the rate of
insulin absorption. Also,
closely monitor patient
after changes to insulin
dosage
Instruct patient to
rotate injection sites
within same region to
reduce risk of
lipodystrophy