Antidiabetic Flashcards
Insulin lispro: Onset
10-30 minutes
Insulin lispro: Peak
30 min - 1 hour
Insulin lispro: Duration
2-5 hours
Insulin lispro: when do you give
right before they eat (tray is in the room)
Insulin lispro: type
rapid acting insulin
Regular insulin: Onset
30-60 min
Regular Insulin: Peak
2.5-5 hours
Regular Insulin: Duration
4-12 hours
Regular insulin IV
Onset: 5-15 min
Peak: 30 min
Duration: 1 hour
Mixing Regular and NPH
Air cloudy; air clear; draw clear; draw cloudy
Insulin NPH: Onset
1-2 hours
Insulin NPH: Peak
4-12 hours
Insulin NPH: Duration
14-24 hours
Insulin NPH: type
intermediate acting
Regular insulin: type
Short-acting
Insulin glargine: type
long acting
Insulin glargine: Onset
1 hour
Insulin glargine: Peak
None
Insulin glargine: Duration
24 hours
What is the somogyi effect?
blood sugar bottoms out between 2-4 am
What can you mix with long acting Insulins?
you can not mix anything with long acting insulins
What do you need to worry about with combination insulins?
Peak times of two different insulins
Diabetic Ketoacidosis
Blood glucose greater than 250
What can you do to lessen the somogyi effect?
decrease bedtime insulin dose or given bedtime snack
Symptoms of Hypoglycemia
Shaking, tachycardia, sweating, dizziness, anxiousness, hunger, impaired vision, weakness, fatigue, irritable, cold and clammy, slurred speech, memory lapse, confusion,
Symptoms of Hyperglycemia
Polydipsia, polyuria, polyphagia, dry skin, blurred vision, drowsiness, nausea, fruity breath, Kussmaul breathing, rapid, thready pulse, dry mucous membranes, poor skin turgor
How long is an insulin vial good for if refrigerated?
3 months
