Insulins & Lab values Flashcards
Short acting insulins
Regular (Humulin R, Novolin R, ReliOn R)
Rapid acting insulins
Lispro (humalog)
Aspart (novolog)
Glulisine (apidra)
Intermediate-acting insulins
NPH (Humulin N, Novolin N , ReliOn N)
Long-acting insulins
glargine ( Lantus)
detemir (Levemir)
Rapid-acting onset, peak, duration
Onset: 15 min
Peak: 60-90 min
Duration: 3-4hr
Short-acting onset, peak, duration
Onset: 1/2-1 hr
Peak:2-3 hr
Duration:3-6 hr
Intermediate acting onset, peak, duration
Onset: 2-4 hr
Peak:4-10 hr
Duration: 10-16 hr
Long-acting onset , peak, duration
Onset: 1-2 hr
Peak: no pronounced peak
Duration: 24+ hr
Albumin
3.4 - 5
Bilirubin
< 1.5
Ammonia
10 - 80
Hematocrit
35 - 52%
Hemoglobin
12 - 16
WBC
4500 - 11,000
Creatinine
0.6 - 1.3
BUN
8 - 25
T 3
80 - 230
T 4
5 - 12
urine specific gravity
1.016 - 1.022
amylase
60-120
lipase
0-160
Hepatitis A
Route- Fecal-oral, parenteral, sexual
Severity- Mild
Prophylaxis- Hygiene, immune serum globulin, HAV vaccine, Twinrix
Hepatitis B
Route- Parenteral, sexual
Severity- Severe, may be prolonged or chronic
Prophylaxis- Hygiene, HBV vaccine, Twinrix
Hepatitis C
Route- Parenteral
Severity- Mild to Severe
Prophylaxis- Hygiene, screening blood, interferon-alpha
Hepatitis D
Route- Parenteral, fecal-oral, sexual
Severity- Severe
Prophylaxis- Hygiene, HBV vaccine
Hepatitis E
Route- Fecal-oral
Severity- Severe in pregnant women
Prophylaxis- Hygiene, safe water
Labs for pancreatitis
Decreased- Calcium, Potassium, Albumin
Increased- amylase, lipase, WBCs, Glucose, Bilirubin, AST, LDH, Alkaline phosphatase.
Common symptoms of pancreatitis
severe abdominal pain (radiating to back), nausea, vomiting, fever, dehydration, abdominal guarding, distention, Grey Turner’s sign, Cullen’s sign
Causes of Acute Pancreatitis
Biliary disease (Gallstones, common bile duct obstruction)
Alcohol
Traumatic injury
