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40 Cards in this Set
- Front
- Back
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name the seven types of insulin and their onset time
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lispro 15-30, aspart 10-20, glulisine- 10-15
regular 30-60 NPH- 60-120 glarine- 70 (lantus) |
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insulin peaks
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lispro- .5-2.5 aspart- 1-3
regular- 1-5 NPH- 6-14 glarine- none |
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insulin duration
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lispro-3-6, aspart- 3-5
regular- 6-10 NPH- 16-24 glarine- 24 |
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which can be given IV?
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all rapid acting and regular
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what is of concern in wwhen to give?
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onset
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what is used to assess for hypoglycemia
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peaks
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when to give each insulin
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lispro- 15 min before or just after meal
regular- 30 min before meal NPH- 2x same times a day glargine- daily at bed |
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what 2 concentration does regular come in? and use only for IV
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100, 500
IV only 100 |
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which can be mixed together?
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NPH+ all shortacting and regular (4)
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what are the four categories of insulin?
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short duration: rapid acting
short duration: slower acting intermediate duration Long duration |
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only safe insulin for pregnancy
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regular
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don't use with renal failure
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metformin
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what lab tells us that insulin is being make in the body? and value
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C-peptide
5-12 |
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peak onset of Type I
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11-13
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injection sites
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one a month and 1 inch apart, thigh is slowest absorbed
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length of needles and volumes
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12, 8, 5 mm
1/2, 5/16, 3/16 30, 50, 100 units 1/3, .5, 1cc |
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when given IV all insulin should be diluted
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to .05 to 1 unit/ mL
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storage for unopened vials
room temp opened mixtures in syringe in fridge |
expy date
1 month 1 week |
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describe conventional therapy
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NPH+ REG at breakfast and supper
SPGM- bid |
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bad things about tight control
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gain weight, hypo risk, expensive
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explain tight control
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bgm- qid
reg at b.l.d and long acting at hs basic sliding scale gives dietary freedom unlike conventional |
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hypo can be caused by what?
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exercise, childbirth, alcohol,V+D
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rapid hypo symptoms
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SNS- tachy, palpations sweating and nervousness
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slow onset hypo
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CNS- HA confusion tired fatigue
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hypo treatment
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gel check BS if <70, give snack like peanut butter crackers
recheck in 45 minutes |
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what is somoygi effect
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get low at night and discover it is high in morning- need to wake up at night
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physical manifestations of DKA
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concentrated blood, water loss, ketoacids, shock
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how to treat DKA <5 steps>
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Iv fluids w/ electro
insulin <reduce glucose levels by 50mg/hr bicarb potassium normalization of glucose levels |
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effects of HHNS
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loss of glucose in urine
dehydration- hemoconcentration blood flow is sluggish |
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difference b/t DKA and HHNS
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ph- no sweet breath, onset, osmolarity,
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what helps renal failure in diabetes
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ACE
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bg targets before and after meals
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bf- 90-130
after 180- and lower |
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lispro, onset, peak, duration
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15-30, .5-2.5, 3-6.5
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aspart number
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10-20, 1-3, 3-5
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regular number
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30-60, 1-5, 6-10
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NPH
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1-2, 6-14, 16-24
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glargine
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70, no peak 24
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what drugs put people in the high risk when giving insulin
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BB, sypathomimics, streoids, and oral diabetes meds
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saying to help remember the signs for hypo
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my tacky pal sweats nervously as he heads down the confused fatigery.
down- drowsiness |
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what is a weird hypoglycemic agent?
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ETOH
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