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47 Cards in this Set

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lispro
onset- 5-15 min
peak- 1 hr
duration- 3 hr
aspart
onset- 5-15 min
peak 45 min- 1.5 hr
duration 3-4 hrs
regular insulin
onset 30 min
peak 2.5-3.5 hrs
duration 6-8 hrs
humulin or novolin nph
onset 1.5 hrs
peak 4-12 hrs
duration 22 hrs
humulin lente
onset- 2.5 hrs
peak 7-15 hrs
duration- 22 hrs
glargine
onset 1-2 hrs
no peak
duration- 24+
humulin ultralente
onset- 4 hrs
no peak
duration- 28 hrs
humulin 50/50
onset 30 min
peak 2-5 hr
duration 22 hrs
humulin or novolin 70/30
onset 30 min
peak 1.5-16 hr
duration 22 hrs
humalog mix 75/25
onset 5-15 min
peak 1-6.5 hrs
duration 22 hrs
novolog mix 70/30
onset 5-15 min
peak 1-4 hrs
duration 22 hrs
causes for metabolic acidosis
DKA
severe diarrhea
renal failure
shock
K sparing diuretics
causes for metabolic alkalosis
severe vomitting
excessive GI suctioning
diuretics
excessive bicarb intake
hypercalcemia
hypokalemia
causes for respiratory acidosis
dec resp stimuli (anesthesia, drug overdose)
COPD
pneumonia
atelectasis
flail chest
causes for respiratory alkalosis
hyperventilation (anxiety, fear, PE)
mechanical ventilation
salicylate overdose
high altitude residence
ph
7.35-7.45
C02
35-45
HCO3
21-26
Na
135-145
K
3.5-4.5
Cl
98-106
BUN
7-18
Cr
.7-1.3
Gluc
70-110
Ca
8.5-10.5
ALT
5-40
AST
10-40
ALP
30-120
Total Bili
2-14
direct bili
0-4
PT
10-14
18-24 (on coumadin)
PTT
30-45
60-80 (on heparin)
INR
.8-1.24 not on blood thinners
Mg
1.5-2.5
hypermagnesemia
drowsy, lethargic, diminished reflexes, hypotension, flushing, skin warmth, bradycardia, av conduction block, cardiac arrest
hypomagnesemia
tetany muscle contractions, tachycardia, v dysrhythmias, torsades des pointes, widened qrs, prolonged pr, flat or inverted t waves
hyperkalemia
widened qrs, peaked t waves, parathesias, paralysis, diarrhea, colic, numbness, irritability, weakness in muscles, v fib, oliguria anuria
hypokalemia
smooth muscle weakness, dec GI, decreased reflexes, weakness, resp depression, vent dysrhythmias
hypernatremia
thirst, warm flushed skin, fever, dry sticky mucous membranes, firm rubbery subq tissue, rough tongue, concentrated urine, inc hct and bun, manic dec reflexes seizures in late stages
hyponatremia
headache, muscle cramps, weakness, fatigue, irritable, apprehensive, tachycardia, postural hypotension, anorexia, nv, abd cramps, diarrhea, wt loss or gain, signs of excess fluid volume from water--finger print edema, mental confusion, delirium, shock
hypercalcemia
stones, kidney damage, dec reflexes, lethargy, fractures, bone pain, dec gi motility, weakness, dysrhythmias
hypocalcemia
trouseaus and chvostek's sign, numbness and tingling, painful muscle spasms, convulsions
hgb
12-16 for females
13.5-17.5 for males
hct
37-47% for females
40-54% for males
wbc
5,000-10,000
platelets
150,000-300,000
albumin
3.5-5.5