METFORMIN

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(met-for’min)
Fortamet, Glucophage, Glucophage XR, Riomet
Classifications: hormones & synthetic substitutes; antidiabetic agent; biguanides
Pregnancy Category: B

NURSING IMPLICATIONS

Assessment & Drug Effects

• Lab tests: Obtain baseline and periodic kidney and liver function tests; drug contraindicated in the presence of renal or hepatic insufficiency. Monitor blood glucose and HbA_1C, and lipid profile periodically.
• Monitor known or suspected alcoholics carefully for decreased liver function.
• Monitor cardiopulmonary status throughout course of therapy; cardiopulmonary insufficiency may predispose to lactic acidosis.

Patient & Family Education

• Be aware that hypoglycemia is not a risk when drug is taken in recommended therapeutic doses unless combined with other drugs which lower blood glucose.
• Report to physician immediately S&S of infection, which increase the risk of lactic acidosis (e.g., abdominal pains, nausea, and vomiting, anorexia).
• Do not breast feed while taking this drug without consulting physician.

 

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