mod 4 types of insulin syringes

Question 1

lo-dose syringe

Answer 1

sizes:

50 units in 0.5 mL total volume

30 units in 0.3 mL total volume

syringe calibration - 1 unit

Question 2

insulin syringe admin

Question 3

Single-scale 1-mL syringe

Answer 3

each calibration = 2 units

*often used for pts w/vision difficulties

Question 4

double-scale 1-mL syringe

Answer 4

calibrations

• even units on one side
• one on the other

use odd side for odd doses and even for even dose

Question 5

find correct syringe

Answer 5

Question 6

insulin pumps

Answer 6

insulin usually subcut inject, regular insulin, aspart (Novolog) and glulisine (Apidra) all approved IV admin

*** Insulin NEVER IM

Insulin pumps portable and implantable

• CSII (continuous subcut insulin infusion) - rapid, short-acting insulin continuously

Question 7

using insulin pump

Answer 7

some with and without tubing

pump with tube- attach pump to infusion set and insert very-fine-gauge cannula from pump-s insulin reservoir into abdomen subcut

*most reservoirs hold 300 units of U-100 rapid- or short-acting insulin

Interruptions:

• can lead to ketoacidosis ** do NOT STOP OR DISCONNECT DEVICE without doing these steps
  1. check blood glucose (BG) before disconnecting
  2. supply sup insulin
  3. plan iv insulin admin if needed
  4. test BG after pump reconnect

Question 8

programming pumps

Answer 8

can deliver basal rate and/or bolus dose

basal rate

• continuous over 24 hrs
• keeps BG stable btw meals and at night

bolus rate

• different rates diff times

poss deliver food time for more food intake

can override set rate for any add activity

Question 9

advantages insulin pump

Answer 9

portable

implantable

programmable

no need multi injections

Question 10

where catheter inserted when pump is used

Answer 10

subcut layer

Question 11

What are the advantages of programming bolus doses using an insulin pump?

Answer 11

• delivers diff rates diff times
• overrides cap for times extra avtivity
• prove programmable extra dosing meal times

Question 12

Which type of insulin syringe is ideal for patients with vision problems?

Answer 12

single-scale 1-mL

Question 13

What serious complication can develop if an insulin pump is stopped without supplemental coverage?

Answer 13

ketoacidosis

Question 14

What is the correct order of the steps necessary to stop or interrupt an insulin pump for a medical intervention? Rearrange them correctly.

Answer 14

Check the blood glucose level before disconnecting the pump.

Supply supplemental insulin that may be needed during the procedure.

Plan for any IV insulin administration that may be needed during the procedure.

Test blood glucose again after reconnecting the pump.

Question 15

What is the benefit of continuous dosage basal insulin?

Answer 15

keep blood sugar range overnight