DRUG CARD Student Name: Lionel Tabong

Therapeutic class of drug: Hormones Pharmacologic class of drug: Pancreatics

MEDICATION (GENERIC name): Insulin Glargine (BRAND name): Basaglar/Lantus.

MECHANISM OF ACTION: Lowers blood glucose by stimulating glucose uptake in skeletal muscle & fat, inhibit hepatic glucose production

INDICATIONS: Control of hyperglycemia in type 1 & 2 DM Pts.

CONTRAINDICATIONS: Hypoglycemia, Hypersensitivity.

PERTINENT LABS TO MONITOR: blood glucose, Hemoglobin A1C, K.

ROUTES: Subqut RECOMMENDED DOSAGE RANGE: 0.2-0.4 units/kg (starting dose)

Common side-effects Life-threatening side effects

Hypokalemia

Lipohypertrophy, erythema, swelling, pruritis (local)

Hypoglycemia

Anaphylaxis

Nursing Implications/Patient and family teaching:

Don’t mix with any other insulin/solution, it should be clear & colorless

Use only insulin syringes to draw up dose & store unopened vials in

fridge, don’t freeze. Don’t share pen device.

Administer subcut once daily at the same time each day

Assess/monitor symptoms of hypoglycemia (tingling extremities,

cool/pale skin, tremors, tachycardia, excessive hunger, chills, sweats)

What focused assessment should be performed prior to

administration to ensure the medication is safe to give?

Signs of hypoglycemia – tachycardia, chills, tremors, weakness,

tingling extremities, headache, cool/pale skin, confusion

WHY?

Risk of hypoglycemia

Interactions:

Beta blockers, clonidine & reserpine may mask signs of hypoglycemia

Corticosteroids, estrogen, isoniazid, niacin & rifampin may increase insulin requirements

Alcohol, ACE inhibitors, MAOIs, oral hypoglycemics, salicylates may reduce requirement

Glucosamine may worsen blood glucose control

Antidote/Reversal agents:

Oral/IV glucose

Glucagon

Epinephrine

For IV fluids & IVP or IVPB medications, fill out the sections below:

IV flow rate (e.g. ml/hr) Rate of administration (minutes) IV site (Y-site) compatibility Dilution (typically only needed for IVP)

Insulin Glargine Drug Card

Pharmacology (NURS 3308)

Texas Tech University

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