Insuline Flashcards
Insulin: Type, Effect, Medium
Protein hormone
Lowers blood glucose
Suspension
If cloudy/separated: roll gently to mix
Insulin: Administration, Storage/Handling
Injection: IV (some), IM, SQ (ideal)
Refrigerate!
Never shake: introduces air bubbles
Discard if texture or color changes
Insulin: Measurement
40 U/mL or 100 U/ mL
Syringes MUST match insulin type
Insulin Pens: How to use
Doses are “dialed in” then administered
Can remove needle and use as a vial
Hypoglycemia: clinical signs (4), How to avoid (2)
Weakness
Muscle tremors
Seizures
Coma
Don’t administer if pt did not eat
Monitory BG regularly
Insulin: Source (3), Onset/Duration (4)
Beef
Pork
Human recombinant (HR)
Short-, Intermediate-, Long-, Ultralong-acting
Regular Insulin: Origin, Length, Use, Administration
HR
Short-acting
In-hospital stabilization of DKA pt
IV (unique!) bolus or CRI, IM, SQ
NPH: Origin, Length
HR
Intermediate-acting
Vetsulin: Origin, Length, FDA approved?
Pork
Intermediate-acting
Only FDA approved intermediate-acting insulin for dogs and cats
Intermediate-acting insulin: Who uses it?
Dogs: widely used
Cats: too short for most
Long-acting Insulin: Who uses it?
Dogs: when needed
Cats: widely used, better chance of achieving remission
ProZinc PZI: Origin, Length
HR: only FDA protamine zinc insulin approved for cats on the market
Long-acting
Compounded PZI: Origin, Length
Beef
Long acting
Ultralong-acting Insulin: Who uses it?
Dogs: when needed
Cats: widely used, better chance of achieving remission
Glargine: Name brand, Origin, Length
Lantus
HR
Ultralong-lasting
