Insulin Summary

Question 1

What are the Rapid-Acting Insulins?

Answer 1

lispro (Humalog, Admelog), aspart (Fiasp, NovoLog), glulisine (Apidra)

Question 2

When should rapid-acting insulin be given?

Answer 2

Right before meals.

Question 3

Can Rapid-Acting insulin be taken with other insulin types?

Answer 3

Yes; Long-Acting & Intermediate-Acting

Question 4

Rapid-Acting Routes

Answer 4

SQ & insulin pump

Question 5

Rapid-Acting Insulin Onset

Answer 5

10-15 mins

Question 6

Rapid-Acting Insulin Peak

Answer 6

60 mins/1hr

Question 7

Rapid-Acting Insulin Duration

Answer 7

2-4 hours

Question 8

What are the Short-Acting Insulins (regular)?

Answer 8

Regular insulin (Humulin R, Novolin R, Velosulin)

Question 9

When should short-acting insulin be given?

Answer 9

Given within 30 mins of a meal.

Question 10

Can Short-Acting insulin be taken with other insulin types?

Answer 10

Yes; Mixed with NPH (regular insulin) first. Clear to cloudy for SQ.

Question 11

Short-Acting Routes

Answer 11

SQ, IV, insulin drip or pump

Question 12

Short-Acting Insulin Onset

Answer 12

30 min

Question 13

Short-Acting Insulin Peak

Answer 13

2-3 hours

Question 14

Short-Acting Insulin Duration

Answer 14

3-6 hours

Question 15

What are the Intermediate-Acting Insulins?

Answer 15

NPH (N) (Humulin N,
Novolin N, ReliOn)

Question 16

How long does intermediate-acting insulin last?

Answer 16

About half a day or overnight.

Question 17

Can intermediate-acting insulin be taken with other insulin types?

Answer 17

Yes; rapid- & short-acting insulin

Question 18

Intermediate-Acting Insulin Onset

Answer 18

2-4 hours

Question 19

Intermediate-Acting Insulin Peak

Answer 19

4-12 hours

Question 20

Intermediate-Acting Insulin Duration

Answer 20

12-18 hours

Question 21

What are the Long-Acting Insulins?

Answer 21

detemir (Levemir), glargine (Basaglar, Lantus)

Question 22

Can Long-acting insulin be used with other insulin types?

Answer 22

Yes; rapid- & short-acting insulin; NEVER mixed in the same syringe; Lowers glusose levels fairly easily

Question 23

Long-Acting Insulin Onset

Answer 23

2-4 hours

Question 24

Long-Acting Insulin Peak

Answer 24

Does not peak.

Question 25

Long-Acting Insulin Duration

Answer 25

Up to 24 hours

Question 26

What are the Ultra Long-Lasting Insulins?

Answer 26

degludec (Tresiba), glargine u300 (Toujeo)

Question 27

Ultra Long-Lasting Insulin Summary

Answer 27

Concentrated, admin of large doses in less volume, improves absorption. Offers sustained coverage w/ low potential for hypoglycemia.

Question 28

What are most insulin concentrations?

Answer 28

U100 (100 units/mL)

Question 29

When does the risk of hypoglycemia begin?

Answer 29

Onset

Question 30

When is the greatest risk for hypoglycemia?

Answer 30

Peak

Question 31

What determines how long the risk of hypoglycemia is present?

Answer 31

duration

Question 32

____ injection sites; ____ sites

Answer 32

rotate; document

Question 33

What do you need before the administration of insulin?

hint: 2

Answer 33

Signature of 2 licensed RNs