Question

Insulin-Correction Factor	140-189 = 3 units 181-220 = 6 units 221-260 = 9 units 260-300 = 12 units Greater than 301= 12 units	SQ	Before meals and HS
Lispro insulin	10 unit	SQ	Before meals
Lantus insulin	20 units	SQ	HS
Citalopram	20 mg	PO	Every day
25% Albumin	50 g	IV	Once a day for 2 days

For each medication below list the following information

Classification

Mechanism of action

Purpose/ use

Significant Side Effects / Adverse Reactions

Nursing Implications

Answer 1

The information about the listed medications are as following

	Lispro	Lantus	Citalopram	Albumin
Classification	Insulin (Fast acting )	Insulin(Long acting)	Selective serotonin reuptake inhibitor	Protein derivative
Mechanism of action	This acts by stopping the liver from glucose productions (gluoneogenesis) As a result the blood glucose is under control .Simultaneously it also stimulates the muscles and the skeletal system to use the glucose as a result the blood glucose level in the blood is brought under control	When administered it generally binds to the Insilulin receptor namely thiamine kinase .In this two alpha domains are located in extracellular area and two catalytic beta domain in the intracellular region. This activates the other protein and ensures the glucose is uptake by liver ,adipose tissue and the muscles of skeletal system .So that the pH of this drug is maintained and keeping it under steady range	This drug acts by stopping the CNS to reuptake the serotonin .As a result the neurotransmitters is blocked from the transmission of certain information. This controls the mood and stabilises it	Thos acts very simply by the process of oncotic pressure. This draws the excess fluid by oncotic pressure from interstitial area .As a result the swelling is decreased
Purpose /Use	To treat type diabetes To reduce hyperglycemia Diabetic ketoacidosis	Diabetes mellitis type 1	Depression Anxiety disorder Post traumatic stress disorder	Hypoalbubuminemia Liver failure Burns Hemodialysis
Significant side effects /Adverse reaction	Hypoglycemia GIT:nausea, abdominal pain,diarrhoea respiratory :infection ,cough ,nasopharyhgitis, cold,bronchitis CNS:headache, drowsiness Musculoskeletal : pain	GIT:nausea CNS:palpitation, loss of consciousness ,anxiety ,tremor CVS: dizziness,tachycardia Integumentary : diaphoresis,rash, facial edema Respiratory :dyspnea Endocrine :hypoglycemia	GIT:nausea,dry mouth ,anorexia Respiratory :Yawning CNS:dizziness Sensory:blurring of vision	Integumentary :rash,urticaria ,chills CNS:Fever,headache CVS:tachycardia GIT:nausea,vomiting
Nursing implications	Monitor blood glucose levels Assess for hypoglycemia Provide diet as per dietary plan Encourage the patient to report any uneasiness	Monitor blood glucose levels Assess for hypoglycemia Administer medication as per order	Assess neurological status in every shift Assess for adverse reactions Provide calm and quite environment Provide psychological support	Monitor the intake and output Record daily weight Assess for allergic reaction Monitor vital signs.