Antidiabetic Flashcards

1
Q

Insulin lispro: Onset

A

10-30 minutes

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2
Q

Insulin lispro: Peak

A

30 min - 1 hour

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3
Q

Insulin lispro: Duration

A

2-5 hours

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4
Q

Insulin lispro: when do you give

A

right before they eat (tray is in the room)

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5
Q

Insulin lispro: type

A

rapid acting insulin

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6
Q

Regular insulin: Onset

A

30-60 min

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7
Q

Regular Insulin: Peak

A

2.5-5 hours

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8
Q

Regular Insulin: Duration

A

4-12 hours

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9
Q

Regular insulin IV

A

Onset: 5-15 min
Peak: 30 min
Duration: 1 hour

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10
Q

Mixing Regular and NPH

A

Air cloudy; air clear; draw clear; draw cloudy

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11
Q

Insulin NPH: Onset

A

1-2 hours

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12
Q

Insulin NPH: Peak

A

4-12 hours

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13
Q

Insulin NPH: Duration

A

14-24 hours

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14
Q

Insulin NPH: type

A

intermediate acting

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15
Q

Regular insulin: type

A

Short-acting

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16
Q

Insulin glargine: type

A

long acting

17
Q

Insulin glargine: Onset

A

1 hour

18
Q

Insulin glargine: Peak

A

None

19
Q

Insulin glargine: Duration

A

24 hours

20
Q

What is the somogyi effect?

A

blood sugar bottoms out between 2-4 am

21
Q

What can you mix with long acting Insulins?

A

you can not mix anything with long acting insulins

22
Q

What do you need to worry about with combination insulins?

A

Peak times of two different insulins

23
Q

Diabetic Ketoacidosis

A

Blood glucose greater than 250

24
Q

What can you do to lessen the somogyi effect?

A

decrease bedtime insulin dose or given bedtime snack

25
Q

Symptoms of Hypoglycemia

A

Shaking, tachycardia, sweating, dizziness, anxiousness, hunger, impaired vision, weakness, fatigue, irritable, cold and clammy, slurred speech, memory lapse, confusion,

26
Q

Symptoms of Hyperglycemia

A

Polydipsia, polyuria, polyphagia, dry skin, blurred vision, drowsiness, nausea, fruity breath, Kussmaul breathing, rapid, thready pulse, dry mucous membranes, poor skin turgor

27
Q

How long is an insulin vial good for if refrigerated?

A

3 months