Week 16 Flashcards
Rapid/Short Acting
Bolus needs
Elevated BG
Intermediate/Long Acting
Basal needs
Rapid acting onset, peak, duration
5-20 min
1 hr
3-5 hr
Short acting onset, peak, duration
30-60 min
2-4 hr
6-10 hr
Intermediate acting onset, peak and duration
2-3 hr
4-14 hr
10-16 hr
Lantus onset, peak, duration
3-4 hr
Flat
24 hr
Levemir onset, peak, duration
3-4 hr
3-9 hr
6-23 hr
Lantu and Levemir
DO NOT mix
Novolin 70/30 or Humulin 70/30 onset, peak, duration
30-60 min
1.5-16 hr
10-24 hr
70% NPH 30% regular
Humalog 75/25 onset, peak, duration
5-15 min
1-7 hr
15-24 hr
Lispro protamine and lispro
Humalog 50/50 onset, peak, duration
5-15
2.5-5
12-18
lispro
Insulin Delivery syringes Pros/Cons
Least expensive and allows mixing
Eyesight and dexterity
Lantus
Insulin glargine
Long acting
Stimulates hepatic glycogen synthesis
Lantus drug interactions
Beta blockers (mask hypo) Decreased by corticosteroids
Combivent Respimat
Ipratropium bromide and albuterol
Anticholinergic
COPD
Blocks ACh –> dilation