Insulin

Question 1

how can you deliver insulin

Answer 1

vial/syringe, pen, pump

Question 2

rapid acting insulin

Answer 2

onset 5-15 minutes
peak: 1 hour
duration: 2-4 hours

**Fisap has an onset of 2-2.5 mins

Question 3

regular or short acting insulin
(Humalog)
(Lispro)

Answer 3

onset: 30 minutes
peak: 2-3 hours
duration: 3-6 hours

Question 4

intermediate acting (NPH and the like )

Answer 4

onset: 2-4 hours
peak: 4-12 hours
duration: 12-18 hours

Question 5

long and ultra long (Lantus and the like)

Answer 5

delivers a fairly consistent dose of insulin over 24 hours.

**Trebesia can deliver for up to 72 hours

Question 6

goal when dosing insulin

Answer 6

to match the body’s natural secretion pattern, matching dosing to carb intake

Question 7

explain the difference between a basal dose of insulin and a bolus dose of insulin

Answer 7

Basal: Background insulin usually taken once/day to cover in-between meals and during the night

Bolus: mealtime insulin used to cover carbs ingested during the meal. Can be given just before or immediately after meal.

Question 8

what is the general insulin to carb ratio

Answer 8

1 unit of insulin for every 15 grams of carbohydrates.
1:15

Question 9

what are correction boluses of insulin

Answer 9

amount to lower blood glucose to target range

Question 10

correction scale vs. correction factor

Answer 10

scale: give X units of insulin for each interval of blood glucose

factor: blood-glucose level minus target level of glucose divided by correction factor=units to be given

Question 11

which are considerations when administering insulin

give sub q (45-90 angle)
give IM
rotate sites
rotation of sites unneeded
ask the patient where they want it

Answer 11

give sub q
rotate sites
ask the patient where they want it

Question 12

rank the places to give insulin (butt, stomach, arms, thighs) by how good of absorption they give

Answer 12

stomach/abdomen, arms, thighs, butt

Question 13

how do you mix insulin?

Answer 13

clear to cloudy!