Endocrine system

Question 1

Insulins MOA

Answer 1

• promotes cellular uptake of glucose (decreases blood glucose levels)
• converts glucose into glycogen and promotes energy storage, moves potassium into cells (along with glucose)

Question 2

Insulins therapeutic uses

Answer 2

Glycemic control of diabetes mellitus (type 1 and type 2)

Question 3

Insulins common insulin (high alert) rapid acting

Answer 3

• lispro insulin (humalog)
• Asaprt insulin (Novolog)

(listen to run your ass off)

Question 4

Insulins common insulin (high alert) short acting

Answer 4

• regular insulin (humulin R, novolin R)

Question 5

Insulins common insulin (high alert) intermediate acting

Answer 5

• NPH inslin (human N, novolir N)

Question 6

Insulins common insulin (high alert) Long acting

Answer 6

Insulin glargine (lantus)

Question 7

Rapid acting- lispero onset and peak

Answer 7

onset: 15-20
peak: .5-2.5

Question 8

Rapid acting- aspart onset and peak

Answer 8

onset: 10-20
peak: 1-3

Question 9

Rapid acting glulisine

Answer 9

onset: 10-15
peak: 1-1l5

Question 10

short acting: regular insulin:

Answer 10

onset: 30-60
peak: 1-5

Question 11

long acting: insulin glargine

Answer 11

onset: 70 min
peak: none

Question 12

Long acting: detemir

Answer 12

onset: 1-2 hr
peak: 12-24 hr

Question 13

regular insulin sq ac/hs order

Answer 13

sliding scale

Question 14

lantus order

Answer 14

15 units sq hs

Question 15

Insulins complications

Answer 15

• hypoglycemia
• hypokalemia
• lipohypertrophy- fatty tissues builds up at injection site

Question 16

Insulins contraindications

Answer 16

low blood sugar

Question 17

beta blockers

Answer 17

hide shymtoms of lows

Question 18

Insulins nursing implications

Answer 18

• take blood sugar within an hour of giving insulin and as needed
• take insulin admin with meals depending upon onset of action
• roll vital between palms (discard after 1 month at room temp, 3 months refrigerated)
• select appropriate syringe/ needle for admin
• select appropriate site for sq injection
• rotate sites of sq injections
• diabetic education to its
• recognize hypo/hypergylcemia

Question 19

Insulins pt. teaching

Answer 19

diabetic teaching for new diabetics:

• s/s of hypo/hyperglycemia
• carbohydrates and how to calculate their insulin needs
• how to check their blood sugar
• how to draw and give themself insulin, when it will kick in (onset)
• diabetic diet, snack
• what to do if their bs is too low/to high, sickness, skin checks, medical alert, medical alert Bradley
• importance of eating their whole meal if their received insulin
• if pt. is conscious and hypoglycemic, have them drink 4oz of juice and eat a complex carbohydrates

Question 20

andotate

Answer 20

• use glucagon IM

- dextrose 50% IV to reverse serve hypoglycemia in a ot. that is unconscious