Insulin

Question 1

Brand Name

Answer 1

Humalog, Novalog, Humulin, Novalin, Lantus

Question 2

Drug Class

Answer 2

Hormone

Question 3

Mechanism of action

Answer 3

Allows for glucose transport into the cells, Glyconeogenisis and conversion of glycogen to fat. Produces an intracellular shift of K+,Ca+, and Ma+

Question 4

Indications

Answer 4

Not used in prehospital setting. Used in hyperglycemia to slowly reduce blood sugar levels. Used in crush injuries to reduce hyperkalemia (K+)

Question 5

Contraindications

Answer 5

Hypoglycemia

Hypokalemia

Question 6

Adverse Effects

Answer 6

Hypoglycemia, Hypokalemia, weakness, fatigue, confusion, headache, seizures, coma, diaphoresis

Question 7

Precautions

Answer 7

Incompatible in solutions with any other drugs. ETOH and salicylates may potentiate effects of insulin.

Question 8

Dose

Answer 8

Adjusted for BGL
Different typeshave short/mid/long lasting effects
Standard dosing is 10 25 units SC or IM