Generic NameInsulin Regular

Trade NameNovalin R

ClassificationAntidiabetics, Hormones

DoseSliding scale

RouteSQ

Time/frequencyPRN, BS>150

Peak2-4 hours

Onset30-60 min

Duration5-7 hours

For IV meds, compatibility with IV drips and /or solutionsN/A

Why is your patient getting this medicine?Hyperglycemia

Mechanism of action and indications(Why med ordered)Lower blood glucose by increasing transport into cells and promoting the conversion of glucose to glycogen, Promote the conversion of amino acids to proteins in muscle and stimulate triglyceride formation, Inhibit the release of free fatty acids,

Nursing Implications (what to focus on) Contraindications/warnings/interactionsHypersensitivity; use caution in times of stress or infection

Common side effectslypodystrophy

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)

Corticosteroids and Warfarin

Lab value alterations caused by medicineMay cause ↓ serum potassium levels

Be sure to teach the patient the following about this medicationEmphasize the importance of compliance with nutritional guidelines and regular exercise as directed by health care professional, Advise patient to notify health care professional if nausea, vomiting, or fever develops, if unable to eat regular diet, or if blood glucose levels are not controlled, Instruct patient on signs and symptoms of hypoglycemia and hyperglycemia and what to do if they occur,

Nursing Process- Assessment(Pre-administration assessment)FSBG

AssessmentWhy would you hold or not give this med?Hypoglycemic

EvaluationCheck after givingBlood Glucose at least every 6 hours