Olenik pt 4 Flashcards
pt types for pumps
multiple daily injections
poor glycemic control despite basal-bolus therapy
comfortable self managing insulin dosage
comfortable with technology
maintains regular appointment/checks
financially capable/insured benefit
what insulin is used in pump delivery?
rapid-acting insulin only
components of insulin pump
insulin pump
insulin
reservoir
infusion set
insulin pump
engine
controls how much insulin is administered
insulin
fuel
rapid-acting insulin only
reservoir
gas tank
inserts into the pump to hold the insulin
infusion set
tires
delivers the insulin from the reservoir to the body
open loop system
bg levels –> sensing –> insulin delivery
basal rates can be preset
hybrid closed-loop system
self driving car
HCL
manual mode HCL
basal rates are pre-programmed
bolus for food and corrections
may be used with or without cGM
auto mode HCL
basal rates are automatically adjusted according to an algorithm
bolusing for food is necessay
cGM is required
Which patient(s) listed below would be considered a good candidate for
insulin pump therapy?
A. 7 y.o. female with DM1 who is entirely insulin dependent
B. 45 y.o. male with DM2 who injects insulin glargine once daily
C. 68 y.o. female with DM2 who injects insulin ac & hs but is uncomfortable with
technology
D. 29 y.o. male with DM2 who injects insulin ac & hs but routinely misses
scheduled follow-up appointments
A) 7 y.o. female with DM1 who is entirely insulin dependent
Which of the following insulins is indicated for use in insulin pumps?
Novolog
Which component of the insulin pump is responsible for holding the insulin?
the reservoir