Card Set Information
Insulins (PP pg 9-11 )
Insulins are used for which Diabetes Mellitus?
Type 1 & Type 2
Which Insulins are Rapid-acting?
Name the Short-acting Insulins.
Regular insulin (Humulin R)
What are the Intermediate-acting Insulins?
Isophane suspension (NPH, Humulin N)
Zinc Suspension (Lente, Humulin L)
Which insulin is Long-acting & what is it's onset & peak?
Glargine (Lantus) CLEAR
What are the insulin mixtures that are fast & intermediate-acting?
NPH 70 & Regular 30 (Humulin 70/30)
NPH 50 & Regular 50 (Humulin 50/50)
Lispro prtamin susp. & lispro (Humalog mix 75/25)
For the rapid-acting insulins Lispro (Humalog), Aspart (Novalog) & Glulisine (Apidra), what are the Onset & Peak?
*food right in front of pt as given SQ
For the Short-acting insulins Regular (R), Humulin R, & Novolin R, what is the onset & peak of action?
*Only the R's can be given IV if needed
For the Insulins Isophane insulin susp. (NPH): Humulin N & Novolin N, as well as Insulin Zinc susp. (Lente): Humulin N & Novolin N; what are the onset & peak?
With Basal Insulins (long-acting), like Lantus. What are the onset & peak? What what can they be mixed with?
Can NOT be mixed w/any other insulin!!!
Explain what "Peak" means with admin of insulin.
When the pt is most likely to experience hypoglycemia
What are the combination insulins that have ratios of NPH & regular mixed together?
Humalog & Novalog mixes (75/25)
What are the do's & don'ts of insulin storage?
At room temp
Remove from fridge 30min before use
unopened vials stored in fridge
DO NOT FREEZE
No direct sunlight/high temps
Prefilled syringes in fridge
What types of insulin delivery systems are there?
What are the common s/e of Insulins?
Local itching, swelling, erythema at site
Somogyi effect (hypo 2-4am)
: hyper AM
What are the s/s of Hypoglycemia?
HA, dizziness, confusion, slurred speech
Nervousness, anxiety, agitation
Tremors, Ataxia, sweating, tachycardic, seizures
What are the s/s of Hyperglycemia?
Extreme thirst, dry mucous membranes, poor skin turgor, polyuria, fruity breath, fatique, tachy, Kussmaul respirations
What are the nursing interventions for Insulin Administration?
**BLOOD GLUCOSE LEVELS
Client to report s/s of hypo/hyperglycemia
Enc. diet compliance, insulin & exercise
Medic alert bracelet
How to check BS
How to admin insulin
**call MD for NPO dosing if needed
Special client teaching for Diabetics & insulin dependents?
During peak monitor for hypoglycemia
Avoid alcohol->causes hypo
If ill, take meds as usual ->monitor BS often
Call MD if BS consistently ^250 or can't stop V/D
Carry ID, wear medic alert bracelet
Carry quick sugar for hypo moments
Take BS before driving if feeling hypo/hyper
What would you give a client with insulin induced hypoglycemia?
What is Glucagon?
Hyperglycemic hormone secreted by alpha cells of the islets of Langerhans in the pancreas
Stimulates breakdown of stored glycogen to glucose in liver