WEEK 5 MIXED MEDS

Question 1

When mixing meds from a vial and an ampoule, which med should be drawn up first, and why?

Answer 1

The med from the vial first, to avoid contamination with the med from the ampoule

Question 2

When mixing insulins, what should you keep in mind?

Answer 2

Only mix the same brand and base

Question 3

What are the 4 types of insulins?

Answer 3

1. Rapid
2. Short
3. Intermediate
4. Long

Question 4

Rapid and short acting insulins are in what category of insulins?

Answer 4

Bolus

Question 5

Intermediate and long acting insulins are in what category of insulins?

Answer 5

Basal

Question 6

What is the most common type of insulin used in the hospital?

Answer 6

Regular or short acting

Question 7

Insulin lispro is what kind of insulin?

Answer 7

Rapid acting

Question 8

Rapid acting insulins should be given when with regards to meals?

Answer 8

When meal is in front of the patient

Question 9

Short acting insulins should be given when in regards to meals?

Answer 9

30 mins prior

Question 10

NPH insulin is what kind of insulin?

Answer 10

Intermediate acting

Question 11

Which type of insulin is cloudy?

Answer 11

Intermediate acting

Question 12

Intermediate acting insulin should be given when in regards to meals?

Answer 12

Taken without regard to food

Question 13

Glargine insulin is what kind of insulin?

Answer 13

Long acting

Question 14

What is the only insulin that cannot be mixed?

Answer 14

Long acting

Question 15

Long acting insulin should be given when in regards to meals?

Answer 15

Can be taken without regard to food

Question 16

Which insulin should be refrigerated?

Answer 16

Unopened

Question 17

How is opened insulin stored?

Answer 17

Can be kept unrefrigerated for one month

Question 18

What is the Somogyi effect, and how is it prevented?

Answer 18

If at bedtime patient’s CBG is normal, then at 3 am the body may release sugars into the blood and wake up hyperglycemic

Bedtime snack should be given