Diabetes products Flashcards
Insulin admin devices
-pens
-vials
-inhalation powder
-infusion pumps
-patch delivery
Reusable Insulin Pens
-Novolog PenFill
-Fiasp Pen Fill
-0.5 increments up to 30 unit dose
-records dose and time since last injection
-use over a year
pen w 0.5 unit increments
-Humalog JUNIOR KwikPen
-NovoPen Echo and InPen (reusable)
-30 unit max dose
pen w 2 unit increments
-Toujeo Max Solostar U-300
-Tresiba U-200 FlexTouch
-160 max dose
pen w 5 unit increments
-Humulin R U-500 KwikPen
-max 300 units
Pen needles
-100 in a box
-gauge 28-32
-length 5/32 (4mm) - 1/2 (12.7mm)
-disposable
-sterile
-remove inner cover
Priming
-prime all insulin pens w 2 units before EVERY admin
-Humulin R U-500 prime 5
-Toujeo Max SoloStar U-300 prime 4
-Toujeo SoloStar U-300 prime 3
Syringes and Needles
-disposable
-gauge 27-32
-length 5/32-1/2 (4mm-12.7mm)
Syringe capacity
-1mL = 100 units
-1/2 mL = 50 units
-3/10 mL = 30 units
U500 syringes
-green cap
-each line is 5 units insulin
-doses up to 250 units
Choosing needle length and gauge
-SQ thickness
-insulin dose
-injection technique
Needle counseling
-use one syringe w one type of insulin
-DO NOT WIPE w alcohol bc it removes silicon coating
-dont touch anything else w needle
-recap and dispose
Pen, VIal and cartridge concentration U-100
-100 units/mL
Pen and cartridge capacity
-3mL = 300 unit capacity
Vial capacity
-10mL = 1000 units
Humalog and Lyumjev U-200
-200 unitss/mL
-600 units/pen
Humulin U-500
-500 units/mL
-1500 unit/pen
-10,000 units/vial
Toujeo Solostar U-300
-300 units/mL
-450 units/pen
Toujeo Max Solostar U-300
-300 units/mL
-900 units/pen
Tresiba U-200 FlexTouch
-200 units/mL
-600 units/pen
unused insulin storage
-fridge til expires
In use insulin storage
-room temp
-good for a month
56 days room temp
-Tresiba
42 days room temp
Toujeo
Cart storage
-reusable pens
-unused fridge
-in use room temp for 28 days
-Novolog and Fiasp PenFill
Vial storage?
Injection aids
-visual impairment
-fear of needles
-safety
-pain relief
Count-a dose
-devices for visual impairment
Devices to overcome fear of needles
-TickleFLEX
-NovoFine autocover
-Autoshield duo pen needles
Safety devices
-Safe-clip
-InsulCheck
-DiaSecure
catheters to minimize sticks
-i-Port
-Insuflon
Pain Relief
-Buzzy
-ShotBlocker
Inhaled insulin
-RAPID-acting
-not popular
-Afrezza
Afrezza
-inhaled insulin
-single use carts (4,8,12 units)
-12 min onset
-53 min to peak
-160 min duration
Afrezza SE
-hypoglycemia
-cough
-throat irritation
Afrezza warnings
-NOT for asthma or COPD
-not for smokers or ppl w lung cancer
Afrezza storage
-15 days room temp
-sealed strips 10 days room temp 1 month fridge
-opened strips 3 days room temp
-sealed packages fridge til expires
Non-insulin injectables
-GLP-1
-GIP/GLP
-Amylinomimetic
-GLP-1 and insulin combos
Contraindications of GLP1 and GIP/GLP1
-T1Dm
-thyroid tumors
-pancreatitis
Byetta
-exenatide IR
-5mcg BID for month, then 10mcg BID if needed
-30 days room temp
Victoza
-liraglutide
-0.6, 1.2, 1.8mg qd
-30 days room temp
Trulicity
-dulaglutide
-0.75, 1.5, 3, 4.5mg qWEEK
-14 days room temp
-autoinjector
Ozempic
-semaglutide
-0.25, 0.5, 1, 2mg q WEEK
-56 days room temp
-needles included
Mounjaro
-tirzepatide
-2.5mg increments upto 15 mg qWEEK
-21 days room temp
-autoinjector
GLPs w CV benefit
-liraglutide
-semaglutide
-dulaglutide
-NOT exenatide
GLP1 + insulin combo
-Soliqua (glargine / lixisenatide)
-Xultophy (degludec/liraglutide)
Soliqua
-glargine + lixisenatide
-100 units/mL glargine
-33mcg/mL lixisenatide
-3mL pen
-initial dose 15 units qd
-max 60 units (20mcg lixisenatide)
-28 days room temp
Xultophy
-degludec + liraglutide
-100 units/mL degludec
-3.6mg/mL liraglutide
-3mL pen
-start 16 units qd (10 if insulin naive)
-Max 50 units (1.8mg liraglutide)
-21 days room temp
Lancet devices
