Insulin glargine (Lantus)
ATI-format individual drug card with NCLEX-focused assessment, safety, teaching, and source attribution.
Insulin glargine (Lantus)
ATI class: Long-acting insulin / Antidiabetic
Action
- ATI/source-folder candidate for Insulin glargine (Lantus); verify mechanism against the source table before validation.
Therapeutic use
- Review under Diabetes mellitus medication safety.
Nursing assessment
- Review fasting glucose trends.
- Assess for nocturnal or fasting hypoglycemia.
- Confirm the ordered basal insulin schedule.
Administration
- Verify route against the order and source table.
Side effects
- Verify common side effects against the source table.
Adverse effects
- Hypoglycemia
- Weight gain
- Injection-site reactions
Interactions
- Beta blockers may mask hypoglycemia.
- Corticosteroids can increase insulin requirements.
- Alcohol can increase hypoglycemia risk.
Contraindications
- Current hypoglycemia
Precautions
- Do not mix glargine with other insulins in the same syringe.
- Use caution when appetite, renal function, or activity level changes.
Client teaching
- Take at the same time each day as prescribed.
- Do not use basal insulin as a rapid correction dose.
- Rotate injection sites and keep glucose records.
Medication outcomes
- Therapeutic response with no priority adverse effects.
Antidote / rescue
- No specific antidote is seeded; hold/question unsafe doses and manage toxicity per provider, facility, or poison-control guidance.
NCLEX priority cues
- Basal insulin can still cause hypoglycemia even without a meal-time peak.
- Confusing basal and rapid-acting insulin is a medication-safety priority.
- Unexpected nighttime sweating or morning headache can suggest overnight hypoglycemia.
Medication classes
Source attribution
Related study cards
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ATI medication nclex priority cue concept.
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