Insulin

Question 1

Insulin Trade Name

Answer 1

Insulin (insulin lispro (Humalog))
(Not in CT Protocols and Not Carried by Danbury)

Question 2

Insulin Classification

Answer 2

Medscape:
Antidiabetics, Insulins; Antidiabetics, Rapid-Acting Insulins

Question 3

Insulin Mechanism

Answer 3

Medscape:
Protein hormone; stimulates glucose uptake by peripheral cells

Regulates glucose metabolism; insulins lower blood glucose by stimulating peripheral glucose uptake by skeletal muscle and fat and by inhibiting hepatic glucose production. Insulins inhibit lipolysis and proteolysis and enhance protein synthesis; targets include skeletal muscle, liver, and adipose tissue

Question 4

Insulin Onset of Action

Answer 4

Medscape:
Onset: 0.5-5 hr (initial); 0.5-2.5 hr

Question 5

Insulin Duration of Action

Answer 5

Medscape:
Duration of action: ≤5 hr

Question 6

Insulin Indications

Answer 6

Medscape:
Type 1 or 2 Diabetes Mellitus
(Not in scope for paramedics)

Type 1 also know as juvenile or insulin dependent

Question 7

Insulin Contraindications

Answer 7

Capital:
Hypersensitivity, Hyperglycemia

Question 8

Insulin Side Effects/ Precautions/ Comments

Answer 8

Medscape:
Hypoglycemia
Flu syndrome (34.6%), Pharyngitis (33.3%), Rhinitis (29.6%), Headache (24.7%), Pain (19.8%), Increased cough (17.3%), Infection (13.6%)

Question 9

Insulin Adult Dose

Answer 9

Dosing is complex and often tailored to the individual. Not to be administered by paramedics in the field.

Question 10

Insulin Pediatric Dose

Answer 10

Medscape:
Safety and efficacy not established

Question 11

Insulin Max Dose Adult (Pediatric)

Answer 11

??

Question 12

Insulin Routes of Administration

Answer 12

SC daily injections and for SC continuous infusion by external insulin pump

Question 13

Insulin How Supplied

Answer 13

100 units/mL (Humalog; 10mL vial)