Term
•Insulin may cause...... at the injection site |
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Definition
lipodystrophy
urticaria
Prevention: Rotate sites |
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Term
| Only ...... may be given intravenously |
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Definition
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Term
| Examples of Rapid Acting Insulin . . • • |
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Definition
| Insulin lispro (Humalog) •Insulin aspart (NovoLog) •Insulin glulisine (Apidra) |
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Term
Rapid Acting Insulin
Starts working in ......
•Peaks in ......
•Therapeutic duration of ......
•Used in sliding scale and for post-prandial blood sugar control.
•Meals Should be ate .... after injection.
•May be administered with an ...... |
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Definition
5 – 15 minutes
30 – 90 minutes
3 – 5 hours
5 to 15 minutes
insulin pump. |
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Term
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Definition
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Term
| Used in sliding scale and for post-prandial blood sugar control. |
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Definition
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Term
| •Should be given with meal or client should eat 5 to 15 minutes after injection. |
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Definition
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Term
| •May be administered with an insulin pump. |
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Definition
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Term
| Examples of Short acting insulin . • |
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Definition
| Regular (R) Humulin R, Novolin R |
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Term
Peaks in 2 – 4 hours
•Therapeutic duration of 6 – 8 hours
•May be given IV as well as SQ
•Usually given 20 – 30 minutes before a meal.
•Clear in color |
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Definition
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Term
| •Usually given 20 – 30 minutes before a meal |
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Definition
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Term
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Definition
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Term
| •May be given IV as well as SQ |
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Definition
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Term
| •Therapeutic duration of 6 – 8 hours |
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Definition
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Term
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Definition
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Term
| •Therapeutic duration of 24 hours |
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Definition
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Term
•NPH (N)
•Humulin or Novolin |
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Definition
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Term
| •Starts working 2-4 hours |
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Definition
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Term
| •If taken alone, it is not crucial it be given 30 minutes prior to a meal. The client should eat some food around the time of the onset and peak of these insulins. |
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Definition
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Term
•Starts working 2-4 hours
•Peaks in 6-12 hours |
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Definition
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Term
•Glargine (Lantus)
•Detemir (Levemir) |
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Definition
Very long-acting
basal insulins |
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Term
Very long-acting
basal insulins
•Glargine (Lantus)
•Detemir (Levemir)
•Starts working in 1-2 hours
•NO PEAK!
•Therapeutic duration 24 hours
•Given at bedtime
•Used for basal dose |
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Definition
1-2 hours
PEAK!
24 hours
bedtime
basal dose |
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Term
| Do not mix with other insulin's |
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Definition
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Term
Premixed
••NPH and rapid-acting
•Starts working in 10 – 30 minutes
•Peaks in 8 – 12 hours
•Therapeutic duration of 16 – 24 hours
•Comes in various mixtures, 75/25, 70/30, 50/50 are most common.
•First number is NPH and represents the % in the mixture |
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Definition
NPH and regular
NPH and rapid-acting
10 – 30 minutes
8 – 12 hours
16 – 24 hours
75/25, 70/30, 50/50 are most common. |
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Term
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Definition
Teach clients symptoms, prevention, and treatment of hypoglycemia.
•Teach clients to carry a source of carbohydrate.
•Inform the client that certain herbal’s may interact with insulin.
•Monitor drug’s therapeutic and adverse side effects.
•With IV administration, monitor blood glucose levels at least hourly.
•Teach client sick-day management. |
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Term
15/15 rule – give 15 g of a fast acting concentrated source of carbohydrate such as:
• |
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Definition
3 or 4 commercially prepared glucose tablets
•4 to 6 ounces of fruit juice or regular soda
•6 to 10 life savers or other hard candies
•2 to 3 teaspoons of sugar or honey
•Then retest the glucose in 15 min., retreat as needed.
•Once symptoms are resolved, a protein snack is recommended. |
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Term
But my mother, the diabetic is unconscious!
How about 1mg of Glucagon SQ or IM. Glucagon is sold by Rx and should be part of the emergency supplies kept by diabetic clients who require insulin.
Or, if you are in a hospital …..
Give 25 to 50 ml of D50W IV |
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Definition
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