ENDOCRINE: DIABETES/INSULIN TYPES Flashcards

1
Q

Insulin

RAPID-ACTING INSULIN

  1. Taken when?
  2. Time specific administration…why?
  3. Rapid-Acting Insulin is used with?
A

Rapid-acting:

  1. This type of insulin is generally taken before a meal
  2. to cover the blood glucose elevation from eating.
  3. This is used with Immediate or longer-acting insulin.
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2
Q

Insulin

SHORT-ACTING INSULIN

  1. Usually taken when?
  2. What is the reason this insulin is given at a particular time?
  3. Can be combined with (2) other types of insulin
A

Short-acting:

  1. This type of insulin is usually taken 30 minutes before a meal
  2. to cover the blood glucose elevation from eating.
  3. This is used with Immediate or longer-acting insulin.
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3
Q

Insulin

IMMEDIATE ACTING INSULIN

  1. Covers BG elevations when ? stops working
  2. Immediate Acting Insulin is often combined with ?
  3. How often do you take it?
A

Intermediate-acting:

  1. This type of insulin covers the blood glucose elevations when rapid-acting insulins stop working.
  2. It is often combined with rapid- or short-acting insulin
  3. Is usually taken twice a day.
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4
Q

Insulin

LONG ACTING INSULIN

  1. Often combined with ?
  2. It lowers blood glucose levels when?
  3. How often is it taken?
  4. Tip: both long acting insulins start with?
A

Long-acting:

  1. This type of insulin is often combined, when needed, with rapid- or short-acting insulin.
  2. It lowers blood glucose levels when rapid-acting insulins stop working.
  3. It is taken once or twice a day.
  4. Tip for this – the long acting insulins both start with L. L = Long.
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5
Q

Insulin

Rapid Acting Insulin

  1. Name 3 kinds Brand/Generic (LAG)
  2. Onset
  3. Peak
  4. Duration

LOGS Roll Fast!

http://diabetes.niddk.nih.gov/dm/pubs/medicines_ez/insert_C.aspx

A

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

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6
Q

Insulin

Short-Acting Insulin

Generic

A

Short-acting __

Regular (R)

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7
Q

Insulin

Immediately Acting Insulin

  1. Generic Name
A

Intermediate-acting

Isophane NPH (N)

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8
Q

Insulin

Long-Acting Insulin

  1. Generic Name
A

Long-acting

Gargine

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9
Q

Insulin

Rapid-Acting Insulin

  1. Onset
  2. Peak
  3. 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
A
  1. Onset: 10-30 mins
  2. Peak: 1-3 hrs
  3. Duration: 3-6 hours
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10
Q

Insulin

Short-Acting Insulin

Onset Peak Duration

  1. Onset
  2. Peak
  3. Duration
  4. 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
A
  1. Onset: 30-60 mins
  2. Peak: 2-4 hrs
  3. Duration: 6-10 hrs
  4. Clear
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11
Q

Insulin

Immediately Acting Insulin

Onset, Peak, Duration

  1. Onset
  2. Peak
  3. Duration

Used to cover half a day or overnight. Often combined with Rapid or Short Acting Insulin

A
  1. Onset: 1-2 hrs
  2. Peak: 4-12 hrs
  3. Duration: 16-24 hrs
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12
Q

Insulin

Long Acting Insulin

Onset, Peak, Duration

  1. Onset:
  2. Peak:
  3. Duration:

Often combined…when needed with rapid or short acting Insulin

A
  1. Onset: 1 hour
  2. Peak: NONE
  3. Duration: 24 hrs
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13
Q

Insulin

Mixing Short Acting insulin with Immediate Acting Insulin

  • Immediate (NPH)
  • Short Acting (Regular)
  • Which one is clear?
  1. Steps for mixing
A

Short Acting (Regular) CLEAR

  1. Air into Immediate Insulin Vial first,
  2. then air into regular insulin vial
  3. draw short acting,regular insulin clear
  4. draw immediate acting. NPH insulin next
  5. verify with 2nd nurse
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14
Q

Insulin

What is the only kind of insulin that can be given via IV?

A

Short-acting insulin called REGULAR insulin

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15
Q

Insulin

Decreased sensitivity and swelling___?___occurs at a site of repeated insulin injections, and treatment involves teaching the patient to rotate injection sites.

A

(lipohypertrophy)

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