8/17/2019 Drug Study Insulin Alcazar
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DANICA PAULINE G. RAMOS | 2
DRUG STUDY
Name of
Patient:_________________________________________________________________________________________________________
Ward No.: _______
BeMedicalDiagnosis:________________________________________________________________________________________________________________________________Drug
Name: INSULIN (RegularIndication for Patient:
USUAL DOSAGE/
AVAILABILITY
PHARMACOLOGIC
ACTION OF DRUG
CONTRAINDICATIONS INTERACTION AD
EF
Injection (human): 100units/mL (Humulin R,Novolin R, Novolin
RPenFill, Novolin RPrefille)
Increases !lucosetrans"ort acrossmuscle an fat
cellmem#ranes to reuce!lucose level$ Hel"sconvert !lucose
to!l%co!en& tri!!ersamino aci u"ta'ean conversion to"rotein in
musclecells& stimulatestri!l%cerie formationan inhi#its release
offree fatt% acis fromai"ose tissue& anstimulates
li"o"roteinli"ase activit%, hichconverts circulatin!li"o"roteins to
fatt%acis$
ontrainicate in"atients ith histor% ofs%stemic aller!icreactions
to "or' hen"orcine*erive "rouctsare use orh%"ersensitivit% to
an%com"onent of"re"aration$ontrainicate urin!e"isoes
ofh%"o!l%cemia$+verose -.:H%"o!l%cemia
ru!*ru!$ inhi#itors, ana#olic sterois, antiia#etics,
calcium,chloro2uine, cloniine, iso"%ramie, fi#rates, fluo.etine,
!uanethiine,lithium, 3+ inhi#itors, me#ena4ole, octreotie,
"entamiine,"ro"o.%"hene, "%rio.ine, salic%lates, sulfin"%ra4one,
sulfonamies,tetrac%clines: 3a% enhance h%"o!l%cemic effects of
insulin$ 3onitor!lucose level$ceta4olamie, arenocorticosterois,
al#uterol, antiretrovirals,as"ara!inase, calcitonin,
c%clo"hos"hamie, ana4ol, ia4o.ie,iltia4em, iuretics, o#utamine,
e"ine"hrine, estro!ens, ethacr%nic aci,hormonal contrace"tives
containin! estro!en, isonia4i, lithium,mor"hine, niacin, nicotine,
"heothia4ines, "hen%toin, "ro!esto!ens,somatro"in, ter#utaline,
th%roi hormones: 3a% iminish insulinres"onse$ 3onitor !lucose
level$5ronchoilators an other inhale ru!s: 3a% alter the a#sor"tion
ofinhale insulin$ onsistentl% time oses of other inhale ru!s
ithinhale insulin, an monitor !lucose level closel%$arteolol,
Naolol, Pinolol, Pro"anolol, 6imolol: 3a% mas' s%m"toms
ofh%"o!l%cemia as a result of #eta #loc'ae (such as tach%caria)$
3a%ela% recover% from h%"o!l%cemic e"isoes$ 7se to!ether cautiousl%
in"atients ith ia#etes$Rosi!lita4one: 3a% cause flui retention that
ma% lea to or orsen heartfailure$ 3onitor "atient closel%$ru!*her#$
5asil, #a%, #ee "ollen, #uroc', !insen!, !lucomannan,
N6: vision8I: r%3eta#oh%"o!lh%"er!h%"omh%"o'a'in:
raurticarisellinstin!ininjectioRes"irincreasres"irainfectioreucefunctio+ther:
li"oh%"ana"h%h%"ers
8/17/2019 Drug Study Insulin Alcazar
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DANICA PAULINE G. RAMOS | 2
horehoun, marshmallo, m%rrh, sa!e: 3a% affect !l%cemic
control$iscoura!e use to!ether, an monitor !lucose level
carefull%$ru!*foo$ 7nre!ulate iet: 3a% cause h%"er!l%cemia or
h%"o!l%cemia$7r!e caution an monitor "atient9s iet$ru!*lifest%le$
lcohol use: 3a% cause h%"o!l%cemic effect$ iscoura!euse
to!ether$3arijuana use: 3a% increase !lucose level$ Inform "atient
of thisinteraction$mo'in!: 3a% increase !lucose level an ecrease
res"onse to ru!$
3onitor !lucose level$
reactio
NURSING RESPONSIBILITIES
o Re!ular insulin is for "atients ith circulator% colla"se,
ia#etic 'etoaciosis, or h%"o'alemia$ on9t use Humulin R
(concentrate) 7*00 I$;$ on9t use interm
lon!*actin! insulins for coma or other emer!encies re2uirin!
ra"i ru! action$ lso, 'etosis*"rone t%"e 1, severel%*ill, an nel%
ia!nose ia#etic "atients
!lucose levels ma% nee hos"itali4ation an I$;$ treatment ith
re!ular fast*actin! insulin
o ome "atients ma% evelo" insulin resistance an nee lar!e
insulin oses to control s%m"toms of ia#etes$ 7*00 insulin is
availa#le as Humulin R (concent
for such "atients$ 8ive "harmac% sufficient notice hen
re2uestin! refill "rescri"tion$ Never store 7*00 insulin in same
area ith other insulin "re"arations #e
ris' of severe overose if accientall% !iven to the ron!
"atient$
o 3onitor "atient for h%"er!l%cemia (re#oun, or omo!%i,
effect)$
