Insulin & Oral Diabetic Medications

Question 1

Onset: 15 to 30 minutes
Peak: 0.5 to 2.5 hours
Duration: 3 to 6 hours

Answer 1

Rapid acting insulins

Generic names: lispro, aspart, glulisine

Question 2

Onset: 0.5 to 1 hours
Peak: 1 to 5 hours
Duration: 6 to 10 hours

Answer 2

Short acting insulin

Generic name: regular

Question 3

Onset: 1 to 2 hours
Peak: 6 to 14 hours
Duration: 16 to 24 hours

Answer 3

Intermediate acting

Generic name: NPH

Question 4

Onset: 70 minutes
Peak: none
Duration: 18 to 24 hours

Answer 4

Long acting/duration
glargine (Lantus)

Note: detemir (Levemir) has a different onset and duration

Question 5

this type of insulin can not be mixed with other insulins

Answer 5

Long acting insulins

glarigine (Lantus) and detemir (Levemir)

Question 6

Onset: 1to 2 hours
Peak: none
Duration: 12 to 24 hours

Answer 6

Long acting/duration
detemir (Levemir)

Note: glargine (Lantus) has a different onset and duration

Question 7

This type of insulin can be given subcutaneous, IV bolus, & IV infusion

Answer 7

Short acting insulin
Regular

Question 8

This insulin can be cloudy

Answer 8

Intermediate acting
NPH

can be mixed with short acting and rapid acting insulins, draw up clear insulin before cloudy insulin

Question 9

Insulin syringe are measured as ______________

Answer 9

units

Question 10

This oral medication decrease the hepatic glucose production

Answer 10

glucophage (Metformin)

Drug classificaiton is biguanide

Question 11

GI upset such as diarrhea is a common side effect of this oral medication

Answer 11

glucophage (Metformin)

Question 12

This oral medications will increase insulin secretions after meals

Answer 12

repaglinide (Prandin) or nateglinide (Starlix)

Drug classifation is meglitnides

Question 13

These medications will decrease liver production of glucose and increase the tissue response to insulin

Answer 13

glizide, glyburide, glimerpiride

Drug classification: Sulfonylureas; they are the second generation medications of this drug class

Question 14

shaking, palpitations, diaphoresis, anxiety, alerted level of consciousness, trembling, weakness, and headaches are signs and symptoms of

Answer 14

hypoglycemia

Question 15

These medications treats hypoglycemia

Answer 15

glucagon or an amp of D50 (50% dextrose)

If the patient is unable to take oral intake then use these medications

Question 16

production of large amounts of dilute urine

Answer 16

polyuria

Question 17

abnormally thristy

Answer 17

polydipsia

Question 18

Increase in hunger

Answer 18

polyphagia

Question 19

polyphagia, polyuria, and polydipsia are classic signs for

Answer 19

hyperglycemia

Question 20

This medication can cause numbness and tingling in extremities due to a lack of vitamin B12

Answer 20

metformin

Question 21

This oral diabetic medications needs to be held when a patient is receiving IV contrast.

Answer 21

metformin