Insulin
Insulin that can be administered through IV
What is regular insulin?
Give with first bite of food. Skip pill if skip meal.
What is Acarbose?
Hormone produced by Beta cells of Pancreas
What is Insulin?
First thing to do when you see a patient appears sweaty, anxious, and confused?
1. Call MET Team
2. Arrange for cardiac monitoring
3. Check for blood sugar
4. Administer 4 Oz of orange juice
What is #3
Long acting Insulin
What is Insulin Glargine or Lantus?
Watch for fluid retention with this drug
What is Pioglitazone?
Organ that stores glycogen and releases glucose when body needs it
What is Liver?
A provider orders Acarbose once daily for a client with type 2 Diabetes. He has a h/o HTN, Crohn’s disease and Hyperlipidemia. What is the appropriate response by the nurse knowing the history of the client?
1. Administer medication as ordered.
2. Hold the medication and clarify with the provider.
What is #1
Insulin without peak time
What is Insulin Glargine or Lantus?
Treat with glucose tab not with sugar if hypoglycemic with this drug.
What is Acarbose?
Hormone produced in Gut and stimulates the beta cells to produce insulin
What is GLP-1 or Incretin?
A client arrives in ER with a blood sugar of 800 and feeling sick and fruity breath? What would nurse expect the provider order?
1. Regular insulin drip
2. Glucagon
3. D50% Dextrose
What is #1?
Peak time for Lispro Insulin
What is 30 minutes to 1 hr?
Discontinue this drug 48 hours prior to procedure with contrast dye
What is Metformin?
Terminology when new glucose is formed from protein and fat?
What is Gluconeogenesis?
A client scheduled for surgery later in the morning on NPO is ordered to hold the morning dose of insulin. But, the nurse administers the insulin without reviewing the order and later finds out about the error? What is an appropriate immediate response by the nurse?
1. Administer 4 Oz orange juice
2. Administer D50% IV
3. Notify the surgeon
4. Cancel the documentation of insulin
What is #3?
Regular concentration of insulin availability
What is U-100 (100 units of insulin per ml of solution)?
Watch for dizziness and hypotension with this drug
What is Canagliflozin?
Hormone secreted by pancreas to increase the blood sugar
What is Glucagon?
A nurse is scheduled to administer 5 units of regular insulin along with sliding scale insulin three times a day. Patient’s morning blood sugar was 104.
Sliding scale order: 120-150-2 units; 151-200-4 units; 201-250-6 units; 251-300-8 units; 301-350-10 units; >351- Notify provider.
How much insulin would you administer if patient refuses breakfast?
What is Nothing? Hold insulin and clarify with provider.