Is metformin long acting med? If someones blood sugar is 49, would you give the med? I read that the onset of metformin is unknown.
If the pt is in the hospital or LTC where they are receiving glucose checks minimum of ac/hs, the treatment would be different than if the pt is a HH pt and you are not going to be there the rest of the day to monitor the pt. Generally, the pt would be given several glasses of juice which would raise the blood sugar temporarily. Then the pt should be given a snack/meal of more substantial carbs and protein. Fast or rapid acting insulin would be held but po meds and intermediate or long acting insulin would be given after the pt has had their food and repeat blood sugars are at least 80. If the pt is not able to be monitored by the nurse then the nurse would hold meds for safety. Don't forget to include the doctor's orders in your tx of the pt. Doc should be made aware of the sugar, the trends in the sugar, and the meds ordered, any other pertinent data such as pt is/is not eating, NPO by another doc, etc.
Last edit by RN1989 on Dec 10, '07