Insulins

Question 1

Rapid Types of Insulin

Answer 1

Lispro (Humolog)
Aspart (Novolog)
Glulisin (Apidra)

“15 minutes feels like an hour during 3 rapid responses”
Onset = 15 minutes
Peak = 1 hour
Duration = 3 hrs

Question 2

Short Acting Types of Insulin

Answer 2

Regular (Novolin R)
Humulin R

“Short-staffed nurses went from 30 patients 2 (to) 8 patients”

Onset = 30 minutes
Peak = 2 hours
Duration = 8 hours

Question 3

Lispro (Humalog)

Answer 3

Less likely to cause nocturnal hypoglycemia

Onset <15 minutes
Administer 15 minutes before meals

Peak = 1 - 1.5 hrs

Duration = 3-4 hrs

Question 4

Aspart (Novolog)

Answer 4

Rapid Insulin
Onset = 15 minutes
Peak = 40-50 minutes
Duration = 3-5 hours

Question 5

Glulisine (Apidra)

Answer 5

Rapid Insulin
Onset = 15 minutes
Peak = 1- 1.5 hrs
3-5 hrs

Question 6

Regular (Novolin R)
Humulin R

Answer 6

Short-Acting Insulins
Only type of insulin that can be given intravenously
May be administered with intermediate-acting insulins for better insulin control

Onset 30-60 minutes
Administer before meals

Peak = 2-3 hours
Duration = 4-6 hours

Question 7

Intermediate Insulins

Answer 7

NPH (Novolin N)
Humulin N
“Nurses play Hero to (2) eight (8) 16-yos”

Onset = 2 hrs
Peak = 8 hrs
Duration = 16 hrs

Question 8

NPH Novolin N

Answer 8

Intermediate Acting Insulin

Onset = 2 hrs
Peak = 6-8 hrs
Duration = 12-16 hrs

Question 9

Humulin N

Answer 9

Intermediate Acting Insulin

Onset = 1-2 hrs
Peak = 6-10 hrs
Duration = 16-24 hrs

Question 10

Long Acting Insulins

Answer 10

Do NOT mix long-acting insulins with other insulins
Usually given at bedtime

Glargine (Lantus)
Detemir (Levemir)

“The two long nursing shifts never peaked but lasted 24 hours”
Onset = 2 hours
No peak
Duration = 24 hours

Question 11

Glargine (Lantus)

Answer 11

Onset = 2 hrs
No peak time
Duration = 24+

Question 12

Detemir (Levemir)

Answer 12

Onset = 1 hr
Peak = 6-23 hrs
Duration = 24+

Question 13

Humalog (50/50)

Answer 13

50/50 NPH/Rapid

Onset = 30 min
Peak = 3 hrs
Duration = 6-12 hrs

Question 14

Humalog (75/25)

Answer 14

75:25 NPH:Rapid/short
Onset = 15 minutes
Peak = 2-4 hours
Duration = 6-12 hours

Question 15

NovoLog (70/30)

Answer 15

70:30 NPH:Short/Rapid

Onset = 15 minutes
Peak = 1-4 hours
Duration = 12-24 hours

Question 16

Humalog (70/30)

Answer 16

70:30 NPH: Rapid/short

Onset = 30 minutes
Peak = 4-8 hours
Duration = 24 hours

Question 17

Novolin (70/30)

Answer 17

70:30 NPH: Rapid/short

Onset = 30 minutes
Peak = 4-8 hours
Duration = 24 hours