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54 Cards in this Set
- Front
- Back
2 rapid acting insulins are
|
Lispro
Aspart |
|
1 short acting insulin is
|
Regular
|
|
2 intermediate acting insulins are
|
NPH,
Lente |
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2 Long acting insulins are
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Untralente, Glargine
|
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Mixed insulins are
|
70/30
50/50 Humalong mix 75/25 |
|
brand name for the 2 rapid acting insulins are
|
Humalog-lispro
novolog-aspart |
|
brand name for the short acting insulins is
|
Humulin or novolinR
|
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brand name for the intermediate acting insulin are
|
humulin or novolin N - HPH
humulin or novolin- lente |
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brand name for the long acting insulin ultralente and glargine are
|
humulin U - Ultralente
Lantus- Glargine |
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Onset and peak times for The rapid acting Lispro(humalog)are:
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Onset = 5 minutes
Peak = 30-60 minutes |
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Onset and peak times for the rapid acting Aspart (Novolog) are:
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onset= 5-15 minutes
Peak = 45-50 minutes |
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Onset and peak times for the short acting Regulr insulin (Humulin or novolin R) are:
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onset= 30 minutes
Peak = 2-4 hours |
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onset and peak times for the intermediate acting insulin NPH (Humulin or Novolin N) are
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Onset= 1-2 hours
Peak= 8-12 hours |
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onset and peak times for the intermediate acting insulin Lente (humulin or Novolin) is
|
onset=1-2 hours
Peak= 6-10 hours |
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onset and peak tiems for the long acting insulin Ultralente (humulinU) is
|
onset= 4-6hours
peak= 10-18 hours |
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onset and peak for the long acting insulin Glargine (lantus) is
|
onset 1-2hours
peak No peak |
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onset and peak for the mixed insulins 70/30-50/50 are
|
Onset-30-minutes
peak= 4-12 hours |
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onset and peak for the mixed insulin Humalog Mix 75/25 is
|
onset= 15 minutes
Peak= 30-90 minutes |
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the effective duration for lispro ( humalog) is
|
3-4 hours
|
|
the effective duration for aspart(novolog) is
|
3-5 hours
|
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the effective duration for Regular (humulin or novolinR) is
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6 hours
|
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the effective duration for NPH (humulin or novolinN)
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18-24 hours
|
|
the effective duration for Lente (humulin or Novolin)
|
12-18 hours
|
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the effective duration for Ultralente (humulinU) is
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36 and above hrs
|
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the effective duration for Glargine (lantus) is
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24 hours
|
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the effective duration for 70/30 or 50/50 (Humulin or Novolin)
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16-24 hours
|
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the effective duration for humalog mix 75/25 is
|
18-26 hours
|
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what insulin should never be mixed
|
lantus
|
|
what insulin is most like your own
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Regular
|
|
what insulin is given IV
|
Regular
|
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example of simple carbs are
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honey, sugar, pop, icing
|
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examples of complex carbs are
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pasta, peas, corn, bread, potatoes.
|
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Normal blood glucose is
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70-120
|
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signs of hypoglycemia include
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shaking, irritable, cold clammy, blurred vision
|
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hyperglycemia s/s included
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polyuria, plydysia, plyphasia, kusmal resp.
|
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The absence of beta cells lead to what?
|
type 1
|
|
when should accu checks be taken
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before eating and before sleep.
|
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counter regulatory hormones include
|
cortisol, epinephrine, glucagon, GH
|
|
beta cells secrete what? and that does what?
|
insulin which facilitates glucose into cells.
|
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Alpha cells secrete and that does what?
|
glucagon, which breaks down glycogen the keeps blood glucose levels stable when not eating.
|
|
Delta cells secrete what and that does what/
|
somatostatin and that slows gastric emptying and decreases gastric acid.
-pevents spikes. |
|
glucagon is a?
glucose is a? glycogen is? glycogenolyiss is |
hormone
nutrient stored breakdown of glucagon to yeild glucose |
|
gluconeogenesis is
|
breakdown of protein and fats into glucose.
|
|
an abnormal byproduct of gfat and brotein breakdown are?
|
ketones.
|
|
do not exercise when BG reaches what?
|
250-300
|
|
the formation of ketones result in the shifting of what? where?
|
potassium (K+) from inside cell to outside of cell.
|
|
insulin carries what? Where?
|
potassium (k+) back into cell and BG drops
|
|
ketones cause a loss of what?
|
Na and h20
|
|
Uti's and vaginal infections commonly lead to what?
|
Type 2 diabetes
|
|
intermediate acting does what
|
sustains a little longer, after meals.
|
|
short acting does what
|
quick action then tapers off (good meal coverage)
|
|
long acting does what
|
sustains thru night or helps alonw with short and intermediate acting to maintan constant BG levels thought day.
|
|
treatment for Somogyi is
|
decrease insulin
|
|
dawn Phenomenon can be treated by
|
changing time of insulin ingection. (intermediate acting)
|