Insulin

Question 1

Hypoglycemia S/S

Answer 1

Symptoms may include shakiness, sweating, headache, nausea, uneven heartbeat, fatigue, irritability, problems concentrating, dizziness, lightheadedness, and tingling or numbness of the lips, tongue or cheek. Confusion, loss of coordination, slurred speech or blurry vision can happen too. Severe cases may trigger a loss of consciousness or seizures.

Question 2

Rapid acting insulin generic meds

Answer 2

Lispro, aspart, glulisine

Question 3

Indication of Lispro

Answer 3

Control of hyperglycemia in pts with type 1 or 2 DM

Question 4

Action of Lispro

Answer 4

Lower blood glucose by stimulating glucose uptake in skeletal muscle and fat, inhibiting hepatic glucose production. Also inhibiting lipolysis and proteolysis, enhanced protein synthesis

Question 5

Lispro class

Answer 5

Antidiabetics, hormones, pancreatics

Question 6

Therapeutic effects of lispro

Answer 6

Control of hyperglycemia in diabetic pts

Question 7

Adverse Reactions/SE of Lispro

Answer 7

Hypoglycemia, hypokalemia, cutaneous amyloidosis, erythema, lipodystrophy, pruritus, swelling, anaphylaxis

Question 8

Contradictions/Precautions of Lispro

Answer 8

Hypoglycemia, allergy or hypersensitivity, stress and infection, renal hepatic dysfunction, concomitant use with pioglitazone or rosiglitazone (increased risk of fluid retention & worsening HF)

Question 9

Interactions of Lispro

Answer 9

Beta blockers (may mask S/S of hypokalemia)

Question 11

Lispro route/dosage

Answer 11

Subcutaneous: total insulin dose determined by needs of pt, generally 0.5 - 1 unit/kg/day

Question 12

Nursing implications/Implementations of Lispro

Answer 12

1. Assess for Sx of hypoglycemia & hyperglycemia
2. Monitor serum potassium
3. Rotate the injection site to prevent lipodystrophy & cutaneous amyloidosis
4. Administer within 15 minutes before or immediately after a meal

Question 13

Patient and Family Teaching for Lispro

Answer 13

1. Instruct pt on proper technique for administration
2. Explain that medication is for control of diabetes, not a cure
3. Instruct pt in proper testing of serum glucose & ketone
4. Closely monitor bs in times of stress and illness
5. Emphasize importance of compliance with proper nutrition & regular exercise
6. Instruct on S/S of hypoglycemia

Question 15

Evaluation/Desired Outcomes of Lispro

Answer 15

Control of blood glucose without the appearance of hypoglycemia or hyperglycemia episodes

Question 16

Lispro onset/peak/duration

Answer 16

15 min/1-2h/3-4h