Insulins

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Author:
Fyrcracker
ID:
243621
Filename:
Insulins
Updated:
2013-10-29 10:15:34
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Insulins
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Description:
Insulins (PP pg 9-11 )
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  1. Insulins are used for which Diabetes Mellitus?
    Type 1 & Type 2
  2. Which Insulins are Rapid-acting?
    • Lispro (Humalog)
    • Aspart (Novalog)
    • Glulisine (Apidra)

    CLEAR
  3. Name the Short-acting Insulins.
    Regular insulin (Humulin R)

    CLEAR
  4. What are the Intermediate-acting Insulins?
    • Isophane suspension (NPH, Humulin N)
    • Zinc Suspension (Lente, Humulin L)
    • CLOUDY
  5. Which insulin is Long-acting & what is it's onset & peak?
    • Glargine (Lantus)   CLEAR
    • Onset: 1hr
    • Peak: NONE
  6. 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)
  7. For the rapid-acting insulins Lispro (Humalog), Aspart (Novalog) & Glulisine (Apidra), what are the Onset & Peak?
    • Onset: 5-15min
    • Peak: 30-90min

    • *clear liquid
    • *food right in front of pt as given SQ
  8. For the Short-acting insulins Regular (R), Humulin R, & Novolin R, what is the onset & peak of action?
    • Onset: 30min
    • Peak: 2-4hr

    • *clear liquid
    • *Only the R's can be given IV if needed
  9. 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?
    • Onset: 1-2hr
    • Peaks: 6-12hr
    • CLOUDY
  10. With Basal Insulins (long-acting), like Lantus.  What are the onset & peak?  What what can they be mixed with?
    • Onset: 1hr
    • Peak: NONE
    • Can NOT be mixed w/any other insulin!!!
  11. Explain what "Peak" means with admin of insulin.
    When the pt is most likely to experience hypoglycemia
  12. What are the combination insulins that have ratios of NPH & regular mixed together?
    • Humulin 70/30
    • Novolin 70/30
    • Humulin 30/70
    • Humulin 50/50
    • Humalog & Novalog mixes (75/25)
    • **CLOUDY
  13. What are the do's & don'ts of insulin storage?
    • At room temp: 1month
    • In fridge: 3months
    • Remove from fridge 30min before use
    • unopened vials stored in fridge
    • DO NOT FREEZE
    • No direct sunlight/high temps
    • Prefilled syringes in fridge
  14. What types of insulin delivery systems are there?
    • Jet injectors
    • Vials
    • Pens
    • Pumps
    • *Inhalation: Exubera
  15. What are the common s/e of Insulins?
    • Hypoglycemia
    • Wt gain
    • Insulin shock
    • Local itching, swelling, erythema at site
    • Lipodystrophy
    • Somogyi effect (hypo 2-4am)
    • Dawn phenom: hyper AM
  16. What are the s/s of Hypoglycemia?
    • HA, dizziness, confusion, slurred speech
    • Nervousness, anxiety, agitation
    • Tremors, Ataxia, sweating, tachycardic, seizures
  17. What are the s/s of Hyperglycemia?
    Extreme thirst, dry mucous membranes, poor skin turgor, polyuria, fruity breath, fatique, tachy, Kussmaul respirations
  18. 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
  19. 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
  20. What would you give a client with insulin induced hypoglycemia?
    Glucagon
  21. 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

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