ENDOCRINE: DIABETES/INSULIN TYPES Flashcards
Insulin
RAPID-ACTING INSULIN
- Taken when?
- Time specific administration…why?
- Rapid-Acting Insulin is used with?
Rapid-acting:
- This type of insulin is generally taken before a meal
- to cover the blood glucose elevation from eating.
- This is used with Immediate or longer-acting insulin.
Insulin
SHORT-ACTING INSULIN
- Usually taken when?
- What is the reason this insulin is given at a particular time?
- Can be combined with (2) other types of insulin
Short-acting:
- This type of insulin is usually taken 30 minutes before a meal
- to cover the blood glucose elevation from eating.
- This is used with Immediate or longer-acting insulin.
Insulin
IMMEDIATE ACTING INSULIN
- Covers BG elevations when ? stops working
- Immediate Acting Insulin is often combined with ?
- How often do you take it?
Intermediate-acting:
- This type of insulin covers the blood glucose elevations when rapid-acting insulins stop working.
- It is often combined with rapid- or short-acting insulin
- Is usually taken twice a day.
Insulin
LONG ACTING INSULIN
- Often combined with ?
- It lowers blood glucose levels when?
- How often is it taken?
- Tip: both long acting insulins start with?
Long-acting:
- This type of insulin is often combined, when needed, with rapid- or short-acting insulin.
- It lowers blood glucose levels when rapid-acting insulins stop working.
- It is taken once or twice a day.
- Tip for this – the long acting insulins both start with L. L = Long.
Insulin
Rapid Acting Insulin
- Name 3 kinds Brand/Generic (LAG)
- Onset
- Peak
- Duration
LOGS Roll Fast!
http://diabetes.niddk.nih.gov/dm/pubs/medicines_ez/insert_C.aspx
Rapid-acting
NovoLog __
Insulin aspart 15 minutes 30 to 90 minutes 3 to 5 hours
Apidra __
Insulin glulisine 15 minutes 30 to 90 minutes 3 to 5 hours
Humalog __
Insulin lispro 15 minutes 30 to 90 minutes 3 to 5 hours
Insulin
Short-Acting Insulin
Generic
Short-acting __
Regular (R)
Insulin
Immediately Acting Insulin
- Generic Name
Intermediate-acting
Isophane NPH (N)
Insulin
Long-Acting Insulin
- Generic Name
Long-acting
Gargine
Insulin
Rapid-Acting Insulin
- Onset
- Peak
- Duration
- Give before breakfast and later end of peak will be at lunch time. Duration will end midafternoon
- Rapid-Acting insulin is often administerd with Immediate Acting Insulin
- Rapid-Acting insulin is often administered with Long lasting Insulin which has no peak
- Onset: 10-30 mins
- Peak: 1-3 hrs
- Duration: 3-6 hours
Insulin
Short-Acting Insulin
Onset Peak Duration
- Onset
- Peak
- Duration
- Color
- Onset, take if you are gonna eat in the next 60 mins, peaks at lunch lasts til dinner
- Short-Acting insulin is often administerd with Immediate Acting Insulin
- When needed Short-Acting is administered with Long-Acting Insulin
- Onset: 30-60 mins
- Peak: 2-4 hrs
- Duration: 6-10 hrs
- Clear
Insulin
Immediately Acting Insulin
Onset, Peak, Duration
- Onset
- Peak
- Duration
Used to cover half a day or overnight. Often combined with Rapid or Short Acting Insulin
- Onset: 1-2 hrs
- Peak: 4-12 hrs
- Duration: 16-24 hrs
Insulin
Long Acting Insulin
Onset, Peak, Duration
- Onset:
- Peak:
- Duration:
Often combined…when needed with rapid or short acting Insulin
- Onset: 1 hour
- Peak: NONE
- Duration: 24 hrs
Insulin
Mixing Short Acting insulin with Immediate Acting Insulin
- Immediate (NPH)
- Short Acting (Regular)
- Which one is clear?
- Steps for mixing
Short Acting (Regular) CLEAR
- Air into Immediate Insulin Vial first,
- then air into regular insulin vial
- draw short acting,regular insulin clear
- draw immediate acting. NPH insulin next
- verify with 2nd nurse
Insulin
What is the only kind of insulin that can be given via IV?
Short-acting insulin called REGULAR insulin
Insulin
Decreased sensitivity and swelling___?___occurs at a site of repeated insulin injections, and treatment involves teaching the patient to rotate injection sites.
(lipohypertrophy)
