Pharm- Insulin Flashcards
1
Q
Rapidly acting- Names
A
- Lispro (Humalog
- Aspart (Novolog)
- Glulisine (Apidra)
2
Q
Rapidly acting- Indications
A
- Rapid blood glucose lowering
- Mimic prandial release of insulin
- Lower risk of hypoglycemia
3
Q
Rapidly acting- Peak & duration
A
- 15 - 30 min peak
- Lasts 2 hrs
4
Q
Short acting- Names
A
Humalin R, novalin R
5
Q
Intermediate acting- Names
A
NPH, Humalin N, Novalin N
6
Q
Intermediate acting- Peak & duration
A
Peak: 5-6 hrs
Duration- Up to 18 hrs
7
Q
Intermediate acting- Indications
A
Basal control, should be used with meal time control
8
Q
Long acting- Names
A
Glargine, detemir
9
Q
Long acting- Indications
A
Basal control
10
Q
Insulins- SE
A
- Hypoglycemia
- Blurry vision
- Skin reaction- lipohypertrophy
- Hypersen. rxn
- Wt gain
11
Q
Sliding scale approach
A
- Change dose depending on postprandial blood sugar
- Basal insulin + short acting to cover meals
- High sugar = higer insulin dose
- Increased by 2 units based increase in glucose by 50
12
Q
Glycemic control in DM
A
- Fasting: 80-130
- Post meal: <8%
- Control BP
- Goal to prevent frequent hypoglycemia
13
Q
Type 2- Initial insulin
A
- Late in dx, due to beta cell exhaustion
- Long acting to start
- Add pre-prandial if BG not controlled
14
Q
Type 1- Initial inulin
A
- Initial therapy
- Basal & bolus required
