Med Surg Endocrine System

Question 1

Rapid

Generic:
- Lispro
- Aspart
-Glulisine

Brand:
- humalog
- novolog
- apidra

Answer 1

onset: 5-30 min
Peak: 30-90 min
Duration: 3-5hours

*highest risk for hypoglycemia

Question 2

Short

Generic:
Regular

Brand name:
Humulin R
Novolin R

Answer 2

Onset: 30-60 min
Peak: 2-4 hrs
Duration: 5-7 hrs

• regular goes right into the vein

Question 3

Intermediate

Generic:
NPH

Brand:
Humulin N
Novolin N

Answer 3

Onset: 30-60 min
Peak: 2-4hrs
Duration: 5-7 hrs

• NEVER GIVE IV

Question 4

Long

Generic:
glargine
Detemir

Brand:
Lantus
Levemir

Answer 4

Onset: 1-2hrs
Peak: none
Duration: 24hrs +

• lowest risk for hypoglycemia

Question 5

Mixing regular insulin and NPH insulin

Answer 5

ADMINISTER
-Must be given subcut or IV
- remove all air bubbles
-Rotate site 1 inch from previous site
- common site: back of arms, thighs and abdomen cat least 2 inches away from the belly button)

COMPLICATIONS
-Hypoglycemia (especially with rapid insulin)
-weight gain
-lipoatrophy (loss of subcut fat)