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N312 > Insulin > Flashcards

Insulin Flashcards

1
Q

Aspart

A

Rapid-Acting
Onset: 15min
Peak:1-3hr
Duration: 3-5hr

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2
Q

Glulisine

A

Rapid-Acting
Onset: 18min
Peak: 30min-1.5hr
Duration: 3-4hr

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3
Q

Lispro

A

Rapid-Acting
Onset:15min
Peak: 30min-1.5hr
Duration: 5hr

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4
Q

Regular

A

Short-Acting
Onset: 30min
Peak: 2-4hr
Duration: 5-12hr

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5
Q

Humulin R

A

Short-Acting
Onset: 1.5hr
Peak: 4-12hr
Duration: 24hr

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6
Q

NPH

A

Intermediate-Acting
Onset: 1-4hr
Peak: 2-12hr
Duration: 10-24+hr

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7
Q

70 isophane/ 30 human

A

Intermediate-Acting
Onset: 30min
Peak: 2-12hr
Duration: 24hr

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8
Q

70 aspart protamine/ 30 aspart

A

Intermediate-Acting
Onset: 15min
Peak: 1-4hr
Duration: 24hr

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9
Q

75 lispro protamine/ 25 lispro

A

Intermediate-Acting
Onset: 15min
Peak: 1-2hr
Duration: 24hr

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10
Q

Glargine

A

Long-Acting
Onset: 2-4hr
Peak: None
Duration: 24hr

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11
Q

Glargine u-300

A

Long-Acting
Onset: 2-4hr
Peak: 12hr
Duration: 24hr

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12
Q

Detemir

A

Long-Acting
Onset: 1hr
Peak: 6-8hr
Duration: 5.7-24hr

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13
Q

Degludec u-100, u-200

A

Long-Acting
Onset: 1hr
Peak: 9hr
Duration: 42hr

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14
Q

How to teach a patient to self administer insulin

A
  • how to determine if insulin is expired
  • keep medication in original labeled container & refrigerate if needed
  • demonstrate how to prep insulin in a syringe, knows how to draw up correct amount
  • coach through steps of subq injection
  • rotate injection sites
  • how to determine how much is needed based on glucose level
  • keep daily log of injections
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15
Q

Mixing rapid or short acting with intermediate

A

Draw up rapid or short acting then intermediate acting

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16
Q

Mixing two intermediate

A

Draw up either first

17
Q

How quickly must a mixed insulin injection be given

A

5 minutes

18
Q

Size of needle for injection

A

4mm for most adults

19
Q

Syringe used for u-100 insulin

A

100 unit insulin syringe

20
Q

What insulin can be given intravenously

A

Regular acting

21
Q

Sliding scale insulin/correctional insulin

A

Provides dose of insulin based on blood glucose level. Small dose of rapid or short acting insulin.

22
Q

How to resuspend cloudy insulin

A

Gently roll vial between palms of hands. Do not shake!

23
Q

What insulins cannot be mixed

A

Insulin Glargine

Insulin Detemir

24
Q

How quickly must a mixture of rapid acting and NPH need to be administered

A

Within 15min before a meal

25
Q

Can mixing insulin be delegated to AP

A

No

26
Q

Common injection sites

A 
Abdomen
Back of upper arm
Thighs
Glutes
Hips

N312 (1 decks)

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