T2-Diabetes Insulin

Question 1

What are the short duration: rapid acting insulins?

Answer 1

Insulin Lispro
Insulin Aspart
Insulin Glulisine

Question 2

What are the short duration: slower acting insulins?

Answer 2

Insulin Regular

Question 3

What are the intermediate duration insulins?

Answer 3

NPH insulin

Question 4

What are the long duration insulins?

Answer 4

Insulin glargine

Insulin detemir

Question 5

What is the trade name for insulin lispro?

Answer 5

Humalog

Question 6

What is the trade name for insulin aspart?

Answer 6

Novolog

Question 7

What is the trade name for insulin glulisine?

Answer 7

Apidra

Question 8

What is the trade name for regular insulin?

Answer 8

Humulin R, Novolin R

Question 9

What is the trade name for NPH insulin?

Answer 9

Humulin N, Novolin N

Question 10

What is the trade name for insulin glargine?

Answer 10

Lantus

Question 11

What is the trade name for insulin detemir?

Answer 11

Levemir

Question 12

Novolog

Answer 12

Insulin Aspart

Question 13

Humulin R

Answer 13

Regular

Question 14

Lantus

Answer 14

Insulin Glargine

Question 15

Novolin N

Answer 15

NPH

Question 16

Apidra

Answer 16

Insulin Glulisine

Question 17

Humalog

Answer 17

Insulin Lispro

Question 18

Novolin R

Answer 18

Regular

Question 19

Humulin N

Answer 19

NPH

Question 20

Levemir

Answer 20

Insulin Detemir

Question 21

What insulin can be mixed together?

Answer 21

NPH insulin (Humalin N and Novolin N) can be mixed with the short acting (Insulin Lispro, Insulin Aspart, Insulin Glulisine, Insulin Regular)

Question 22

Can you mix Humalin N with Humalog?

Answer 22

Yes

Question 23

Can you mix Novolin N with Lantus?

Answer 23

No

Question 24

Can you mix Novolin N with Novolog?

Answer 24

Yes

Question 25

Can you mix Humalin N with Insulin Aspart?

Answer 25

Yes

Question 26

Can you mix NPH with Levemir?

Answer 26

No

Question 27

Can you mix NPH with Apidra?

Answer 27

Yes

Question 28

Can you mix NPH and regular?

Answer 28

Yes

Question 29

Can you mix Humulin N with Humulin R?

Answer 29

Yes

Question 30

Can you mix Novolin N with Novolin R?

Answer 30

Yes

Question 31

Can you mix Novolin N with Insulin glargine?

Answer 31

No

Question 32

Can you mix Humulin N with insulin detemir?

Answer 32

No

Question 33

Can you mix Humulin N with Novolin R?

Answer 33

Yes

Question 34

What is the cloudy insulin?

Answer 34

NPH

Question 35

Is Humalin N clear or cloudy?

Answer 35

Cloudy

Question 36

Is Humalin R clear or cloudy?

Answer 36

Clear

Question 37

Is Novolin R clear or cloudy?

Answer 37

Clear

Question 38

Is Novolin N clear or cloudy?

Answer 38

Cloudy

Question 39

What is the most common and serious adverse effect of all insulin?

Answer 39

Hypoglycemia

Question 40

Why does hypoglycemia occur when taking insulin?

Answer 40

It occurs when insulin levels exceed insulin needs. So insulin takes care of the glucose in our body. When we have too much insulin then we "take care of" too much glucose and that causes our blood sugar to go down so we get hypoglycemia

Question 41

What happens when glucose levels fall rapidly?

Answer 41

Activation of SNS so tachycardia, palpation, sweating, and nervousness

Question 42

What happens when glucose levels fall gradually?

Answer 42

Symptoms limited to lose of CNS origin | Mild CNS symptoms are headache, confusion, fatigue, drowsiness

Question 43

What is lipohypertrophy?

Answer 43

Accumulation of SQ fat

Question 44

Why does lipohypertrophy occur?

Answer 44

Occurs when insulin is injected too frequently at the same site (fat accumulates because insulin stimulates fat synthesis)

Question 45

Explain why injection sites for insulin must be rotated?

Answer 45

Rates of absorption vary among sites, patients should make all injection sites into the same general site..to reduce the risk of lipohypertrophy, injections within the chosen area should be made in DIFFERENT SPOTS preferably about ONE INCH apart. Ideally, each spot should be used ONLY ONCE A MONTH

Question 46

Where should unopened vials of insulin be stored and how long are they good for?

Answer 46

In the refrigerator, DO NOT FREEZE, and can be used up to the expiration date on the vial

Question 47

Where should current use vials be stored and how long are they good?

Answer 47

Kept at room temp, out of direct sunlight or extreme heat; can be kept up to a month! Partially filled vials should be discarded after several weeks if left unused

Question 48

Injecting insulin at room temp causes ____ and reduces the risk of ____

Answer 48

Less pain, reduces risk of lipodystrophy

Question 49

Mixtures of insulin in prepared vials are good for ___ if stored at room temp.

Answer 49

One month

Question 50

Mixtures of insulin in prepared vials are good for ___ if refrigerated.

Answer 50

3 months

Question 51

How should mixtures of profiled syringes (plastic or glass) be stored and how long are they stable for?

Answer 51

Stored in refrigerator vertically with the needle pointing up to prevent clogging; they will be stable for at least 1 WEEK, perhaps 2.

Question 52

What should be done before administrating a mixture in a profiled syringe?

Answer 52

Agitate the syringe gently to resuspend the insulin