INSULIN (generic name)

Question 1

BRAND NAME OF INSULIN

Answer 1

BRAND NAME

Humalog, Humulin, Novalog, Novolin, Lantus

Question 2

DRUG CLASSOF INSULIN

Answer 2

DRUG CLASS

Hormone, Antidiabetic

Question 3

DOSE and ADMINISTRATION OF INSULIN

Answer 3

D and A
Dose adjusted relative to BGL.
STANDARD DOSE ADULT: 10 - 25 units SC/IM followed by infusion of 0.1 units/kg/h
PEDI DOSE: 0.1 - 0.2 units/kg/h SC/IM/IV

Question 4

INDICATIONSOF INSULIN

Answer 4

INDICATIONS
Not use in emergency pre-hospital setting.
Diabetic Ketoacidosis or other Hyperglycemic State, Nonketotic Hyperosmolar Coma, Hyperkalemia (insulin and D50 used together to lower state)

Question 5

MECHANISM OF ACTION OF INSULIN

Answer 5

MECHANISM OF ACTION
Allows for glucose to transport into the cells, Glycogenesis and conversion of glycogen to fat. Produces an intracellular shift of K+ Mg+ Ca+

Question 6

CONTRAINDICATIONS OF INSULIN

Answer 6

CONTRAINDICATIONS

Hypoglycemia, Hypokalemia (blood’s potassium too low)

Question 7

ADVERSE EFFECTS OF INSULIN

Answer 7

ADVERSE EFFECTS
Weakness, fatigue, confusion, headache, seizure, coma tachycardia, nausea, hypokalemia, hypoglycemic effets of insulin.
Alcohol and salicylate may potentate the effects of insulin.

Question 8

PRECAUTIONS OF INSULIN

Answer 8

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