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23 Cards in this Set

  • Front
  • Back
which needle is bigger?
25G or 31G
25G
which needles are more likely to bend?
25G or 31G
31G
is it ok to reuse a needle for insulin inj?
yes according to ADA, but mfr recs 1x use
when is it not OK to reuse a needle?
1. poor personal hygiene
2. acute concurrent illness
3. open wounds on hands
4. dec R to inf
5. dull/deformed needle
6. needle was in contact w/ surface other than skin
T/F needles should be stored in the fridge
false, store at RT
which statement is true? what is wrong w/ the other statements?
1. you can inject insulin through your clothes
2. when mixing levemir w/ NPH, draw up levemir first
3. clean the needle w/ an alcohol swab before injecting
4. clean the top of the vial w/ alcohol
5. shake the vial/pen before drawing up/injecting
6. always clean the skin w/ alcohol
T 1. you can inject insulin through your clothes
F 2. when mixing levemir w/ NPH, draw up levemir first -->DON'T mix levemir/glargine w/ anything else
F 3. clean the needle w/ an alcohol swab before injecting --> DON'T clean the needle
T 4. clean the top of the vial w/ alcohol
F 5. shake the vial/pen before drawing up/injecting --> DON'T SHAKE just roll gently
F 6. it isn't necessary to clean the skin w/ alcohol bc it burns the skin (dries --> callus), make sure if u do the alcohol evaporates before injecting
1. at what angle do u inject insulin into an avg size adult?
2. child
1. 90 deg
2. 45 deg
T/F when using insulin pens, after injecting the insulin you can pull it out because the pen injects all of its contents when you depress the plunger
False, wait 5 sec w/ needle still in skin to allow complete delivery
which site has the most absorption?
a. abdomen
b. thigh
c. arm
a. abdomen
should you rotate sites (arm/thigh/abdomen) or rotate within 1 area?
rotate w/in 1 area; 1" from last site; 2" from umbilicus
you should inject room temp/ cold insulin
room temp; cold hurts
which of the following can mix w/ NPH?
a. glargine
b. lispro
c. detemir
d. aspart
e. glulisine
can mix w/ NPH:
b. lispro
d. aspart
e. glulisine
which 2 insulins CAN'T mix w/ any other insulins?
detemir/levemir
glargine/lantus
which needs to be drawn up 1st?
1. lispro/novolog mix
2. novolog mix/glulisine
1. novolog mix (aspart)
2. glulisine
T/F AdvantaJet is able to "inject" insulin w/o a needle
true, but may cause bruising
Dx is based on fasting plasma glucose / whole blood glucose.
FBG
glucometers msr
a. FBG
b. capillary blood glucose
c. whole blood glucose
b. cap blood gluc
c. whole blood gluc
what sites are available for testing?
a. forearm
b. upper arm
c. palm
d. thighs
e. abdomen
f. shin
g. back of neck
1. forearm
2. upper arm
3. palm
4. thighs
5. abdomen
when should u NOT use alternate testing sites?
1. w/in 2 hrs after a meal
2. w/in 2 hrs after insulin dose
3. w/in 2 hrs after exercise
4. result doesn't match PT's Sxs
5. PT concerned ab HYPOglycemia
6. PT experiencing SSx of HYPER/HYPOglycemia
T/F I'm on vacation staying at a ski lodge in VT. It's time to check my BS. I left my strips in the car. The strips are fine because I left them in the original container away from sunlight and moisture. I'm going to test it quickly before I forget.
False.
1. should avoid extreme Ts (hot/cold)
2. altitude may affect performance
3. if it was left in the cold you should allow strips to come to room T before using
when getting a sample of blood you should:
1. lance the middle of the finger
2. rub your hands together
3. hang your hands upside down so gravity pulls the blood
2. rub hands together

1. lance SIDE of finger
3. dumb =p
rapid / long acting?
1. novolog (aspart)
2. lantus (glargine)
3. humalog (lispro)
4. apidra (glulisine)
5. levemir (detemir)
1. novolog - rapid
2. lantus - long
3. humalog - rapid
4. apidra - rapid
5. levemir - long
which 2 insulins have insulin pumps?
1. novolog
2. humalog