unit 2 117 Flashcards

1
Q

peaks in 30-90 mins

A

Insulin Lispro

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2
Q

peaks in 1 hour

A

insulin aspart

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3
Q

peaks in 1-5 hours

A

Insulin regular

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4
Q

peaks in 4-12 hours (classic 8 hours)

A

Insulin Isophane Suspension

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5
Q

no peak

A

insulin detemir and insulin glargine

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6
Q

begins to work in 15-30 mins

A

Insulin Lispro and Insulin aspart

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7
Q

begins to work in 30-60 min

A

insulin regular

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8
Q

begins to work in 1-2 hours

A

Insulin Isophane Suspension

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9
Q

begins to work unknown

A

insulin detemir

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10
Q

begins to work 3-4 hours

A

insulin glargine

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11
Q

duration 3-5 hours

A

Insulin lispro and insulin aspart

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12
Q

duration 6-10 hours

A

insulin regular

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13
Q

duration 16 hours

A

insulin isophane suspension

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14
Q

duration 24 hours

A

insulin detemir and insulin glargine

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15
Q

18-25 G needle

A

Intramuscular injection

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16
Q

25-30 G needle

A

subcutaneous injection

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17
Q

5/8”-1.5” needle

A

Intramuscular injection

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18
Q

3/8”-5/8” needle

A

subcutaneous injection

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18
Q

1-3 mL syringe

A

Intramuscular injection

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19
Q

Can only inject 1 mL or less

A

Deltoid

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20
Q

2-3 fingers below the acromion process

A

Deltoid

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21
Q

Can inject 2 mL or less in adults (preferred in children)

A

Vastus lateralis

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22
Q

halfway between the greater trochanter and lateral femoral condyle

A

Vastus lateralis

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23
Q

site where gluteus medius and gluteus minimus meet

A

Ventrogluteal

24
Q

Can inject 3 mL, 5 mL if needed, use 1.5” needle

A

Ventrogluteal

25
Q

recommended site for adults

A

Ventrogluteal

26
Q

The site that is not recommended

A

Dorsogluteal

27
Q

allow the medication to not leak, use for irritation

A

Z-track

28
Q

glucose level 72-104

A

Normal

29
Q

glucose level less than 70

A

hypoglycemia

30
Q

glucose level 110-125

A

hyperglycemia

31
Q

Medication given in “love handles”

A

Lovenox

32
Q

Does not produce insulin

A

Type 1

33
Q

Produces insufficient insulin

A

Type 2

34
Q

medication given for hypoglycemia, increases blood sugar, given IV, IM, SubQ
Recheck blood sugar every 15 min

A

Glucagon

35
Q

Do not give 48 hrs before IV contrast, increases sensitivity of cells to insulin, and decreases the production of glucose from liver
S/E- Does not cause hypoglycemia
ex (Metformin)

A

Biguanides

36
Q

Black box warning, Do not give to cardiac patients, increase use of glucose, and decreases liver production
S/E- hypoglycemia, fluid retention, weight gain
ex) Pioglitazone

A

Thiazolidiones

37
Q

Insulin given continuous IV

A

Insulin regular

38
Q

very concentrated, need 2nd nurse to verify

A

u500

39
Q

Insulins that you can mix

A

rapid, short, intermediate

40
Q

insulins you cannot mix

A

Long acting
detemir and glargine

41
Q

prevents kidneys from reabsorbing glucose and sodium
S/E- UTI, yeast infection
ex) Empagliflozin

A

Sodium-Glucose Co-transporter 2 (SGL-2)

42
Q

decreases glucose concentration and delays gastric emptying
Administered Subcutaneous
Ex) dulaglutide, liraglutide)

A

Glucagon-Like peptide 1 (GLP-1)

43
Q

helps decrease glucagon secretion and delays gastric emptying
given orally
S/E- Pancreatitis, upper respiratory infection
ex) Sitagliptin

A

Dipeptidyl peptidase inhibitors

44
Q

helps stimulate insulin secretion, can be combined with metformin
S/E- hypoglycemia, GI upset, weight gain
Ex) glyburide, glipizide, glimepiride

A

Sulfonylureas

45
Q

chemical reaction that happens in the body necessary to maintain life

A

metabolism

46
Q

cells that produce glucagon, glucagon increases glucose levels within the blood

A

Alpha cells

47
Q

cells in the pancreas that release insulin

A

beta cells

48
Q

works to increase blood sugar, produced by alpha cells

A

glucagon

49
Q

increases the sensitivity of cells to insulin, helps decrease the production of glucose from the liver

A

biguanides

50
Q

helps stimulate insulin secretion

A

sulfonylureas

51
Q

increase the use of glucose by the cells and decrease liver production of glucose

A

Thiazolidinediones

52
Q

helps decrease glucagon secretion and delays gastric emptying

A

dipeptidyl peptidase inhibitors

53
Q

prevents kidneys from reabsorbing glucose and sodium

A

sodium-glucose co-transporter (SGL-2)

54
Q

Decreases glucose concentration and delays gastric emptying

A

Glucagon-Like Peptide 1 agonists (GLP-1)

55
Q

deltoid landmarks

A

2-3 fingers below the acromion process

56
Q

vastus lateralis landmarks

A

one hand above the patella and one hand length below the greater trochanter

57
Q

ventrogluteal landmarks

A

hand over greater trochanter, thumb pointing towards groin, index finger pointing toward the anterior superior iliac spine, middle finger extends back towards iliac crest