DRUG NAME MECHANISM OF ACTION INDICATION SIDE EFFECTS NURSING

RESPONSIBILITIES

GENERIC NAME: Regulates the metabolism of To improve glycemic control in CNS: headache, seizures, BEFORE:
Insulin Aspart glucose. It promotes the adults with diabetes mellitus asthenia, fever, fatigue, Administer by subcutaneous
storage and inhibits the sensory disturbance injection only in the thigh,
BRAND NAME: breakdown of glucose, fat, and CV: hypertensin, peripheral abdominal wall, or upper arm.
Novorapid amino acids. Insulin lowers edema Rotate sites within same region
blood glucose by increasing CONTRAINDICATION: EENT: nasopharyngitis from one injection to the next
CLASSIFICATION: peripheral glucose uptake, Contraindicated during GI: nausea, diarrhea to reduce risk of lipodystrophy
Antidiabetic particularly in the skeletal episodes of hypoglycemia GU: UTI, dysmenorrhea
muscle and fat Metabolic: hypoglycemia, Inspect visually for particulate
DOSAGE: Contraindicated in patients with hypokalemia, weight gain matter and discoloration before
8 “U” a history of hypersensitivity to Musculoskeletal: myalgia administration, whenever
drug or its components. Severe Respiratory: URI, bronchitis, solution and container permit;
ROUTE: life-threatening, generalized cough: bronchospasm, throat use only if solution appears
Subcutaneous allergic reaction, including pain or irritation, decreased clear and colorless
anaphylaxis, can occur with pulmonary function
FREQUENCY: insulin products Skin: injection-site reactions, Instructions for priming and
TID lipodystrophy, pruritus, rash using pens vary from one to
Use cautiously in patients Other: allergic reactions, another, are very detailed, and
TIMING: susceptible to hypokalemia, flulike symptoms, involve multiple steps. Refer to
5AM-11AM-5PM such as patients who are manufacturer’s instructions for
fasting, are takin potassium- use
lowering drugs, or are
concurrently taking drugs that DURING:
may affect potassium levels Monitor patient carefully for
signs and symptoms of
hypoglycemia, especially in
long-standing disease

Instruct patient to keep hard

candy or glucose tablets on
hand to treat mild cases of
hypoglycemia

Teach patient that alcohol may

affect glucose levels and should
be avoided
AFTER:
Assess patient for signs and
symptoms of hypoglycemia
(sweating, shaking, trembling,
confusion) and hyperglycemia
(drowsiness, fruity breath odor,
frequent urination, thirst).
Notify prescriber if any of these
signs or symptoms occur

Inform patient that any insulin

change should be made
cautiously and only under
medical supervision

Instruct patient not to stop

insulin abruptly or change
amount injected without
consulting prescriber