Exam 3 lecture 7 Flashcards
What are the two tyoes of insulin oens
Reusable
Disposable
T/F we can only use rapid actings in cartridges
True
What are some features the novopen echo has
It has a memory function (when the last dose was given/ how many units were given
Also dosed in half unit increments
What are some features of InPen
Smart pen with an app that you can put in CHO content and will tell you doses without us having to calculate CF
Max doses for InPEN and Novopen
30 units
What features for tempo
A prefilled insulin pen with smart button and diabetes management device. It can also be app driven
bigfoot unity systems features
Black cap is for long acting
White cap is for rapid acting
pairs with freestyle libre 2
1 box of ben needles has how many pens
100
Which gauge is thinner
higher gauge= thinner neede
common lengths of needles
4,5,6,8,12.5
Prime pens with 2 units except for when using
humlin R u 500
toujeo max u 300
toujeo solostar
how many units to prime for Humlin Ru 500 kwikpen
5 units
how many units to prime for toujeo max solostar
4 units
how many units to prime for toujeo solostar
3 units
Above what length do we need to pinch the skin to insert needle
6 mm and above
reasons to use long needles
obese patient
U 100 cncentration
100 units/ml
pen and cartridge capacity for U 100
3 ml pen X 100 units= 300 units/pen and cartridge
how many units in a vial
1 vial is 1000 units
because 1 vial is 10 ml and 1 ml is 100 units
When pens/vials/cartridges are not in use, where should we put them? how long can they be used at room temperature mostly?
Not in use- store in refrigerator
when opened it is good for about a month
what is an insulin measurement device for visually impaired people
Count a dose
devices to overcome fear of needle
Tickleflex
Novofine
Autoshield Duo pen needles
devices for pain relief from injection
Buzzy
Shotblocker
name of inhaled insulin
afrezza
is afrezza rapid or slow
rapid
adverse rxn for afrezza
Hypoglycemia
cough
throat pain
contraindications for afrezza use? what pts is it not recommended in
COPD and asthma.
Not recommended in patients who smoke and have lung cancer
What are some non-insulin injectables
GLP-1 agonist
GIP agonist
GLP-1 insulin combo
What are some GLP-1 agonists
Mounjaro, victoza, ozempic, trulicity
which GLP 1s are dosed BID
Byetta
Which GLP 1 is dosed QD
Victoza
Which GLP 1s are dosed weekly
Trulicity
ozempic
bydureon
Mounjaro
dosing of bydureon
2 mg once weekly
Dosing of byetta
5 mg BID x 1 month
then 10 mg BID if needed
Dosing of mounjaro
2.5, 5, 7.5, 10, 12.5, 15, once weekly increase by 2.5 every month
Dosing of ozempic
0.25, 0.5, 1 mg, 2 mg, once weekly increase dose by 0.25 every month
dosing of trulicity
0.75, 1.5, 3, 4 mg once weekly increase every 4 weeks
Dosing of victoza
0.6 mg, 1.2 mg 1.8 mg once daily
GLP agonists with CVD benefits
Victoza, ozempic, trulicity
GLP-1 and insulin combination devices
Soliqua, xultophy
What do GLP-1 and insulin combo devices have inside of them? highest dose for them?
Long acting insulin and GLP-1 agonits. Max dose is the max dose for the GLP agonist
Highest dose for soliqua
60 units SQ QD
20 mcg of lixesenatide
Max dose of xultophy
50 units sq
(1.8 mg liraglutide)
which GLP agonists are autoinjectors
Trulicity, bydureon, Mounjaro
Which GLP agonists have pen needles included
Ozempic
Which GLP agonists require patient to obtain pen needles separately
Byetta, victoza, soliqua and xultophy
room temp stability for afrezza (opened and unopened)
3 days opened
10 days unopened
Trulicity room temp stability
14 days
Xultophy and mounjaro room temp stability
21 days
Bydureon and solqua room temp stability
28 days
Victoza and byletta room temp stability
30 days
Ozempic room temp stability
56 days
What are some patient factors that affect accuracy and interpretation of BG monitoring
med changes, food/exercise, exp date, temperature and humidity, user error
alternate BG testing sites and when to use them
Should only be used in the mornings, fingerstick is only one appropriate for ppg, bedtime etc..
Forearm, upper arm, calf, thigh and palm
