types of insulin
this type of insulin has an onset of 30-60 min
regular insulin
This is the most common method of insulin delivery.
What is subcutaneous injection?
This is the term for the time it takes for insulin to start lowering blood glucose
What is onset time?
The most common side effect of insulin is this condition.
What is hypoglycemia?
Once opened, insulin vials are usually safe to use for this many days.
what is a month
This insulin works steadily over a full 24-hour period without peaking.
and tell me the drug name
What is long-acting insulin?
glargine
determir
Name the device that delivers a continuous supply of insulin through a catheter placed under the skin.
What is an insulin pump?
The peak action time for this insulin is about 1-3 hours after injection
What is short-acting insulin?
This side effect can occur if insulin is injected repeatedly into the same spot.
What is lipohypertrophy?
client has a BG of 52. The client is telling you about what happened during the day and while taking a sip of their "diet" swig drink. what should you do first?
15/15 rule
Name the insulins that combines both short-acting and intermediate-acting insulin in one injection.
regular insulin and NPH (isophane suspension)
Insulin should be injected into this part of the body for the fastest absorption.
What is the abdomen?
This long-acting insulin has an onset of action in 1-2 hours with no peak
What is insulin glargine (Lantus)?
This term describes an allergic reaction to insulin.
What is insulin allergy?
If a patient's insulin-to-carbohydrate ratio is 1:8 and they plan to eat a snack with 20 grams of carbohydrates, how many units of insulin should they inject?
3 units
this type of insulin is given IV
regular insulin
Rotating injection sites helps to prevent this skin condition.
What is lipodystrophy?
The duration of action for rapid-acting insulin is typically this long
What is 3-5 hours?
3-8 hr?
Common side effect if the client did not get enough insulin.
the 3 P's
polyuria
polydipsia (increase thirst)
polyphasia (increase hunger)
You found client laying on the floor mumbling and in and out of sleep. You decide to take a BG and it's 46.
what should you do?
call doc for glucagon
what 2 types of insulin are usually taken before meals.
and tell me the drug name for each type
What is rapid-acting and short actin insulin?
insulin aspart
insulin glulisine
insulin lispro
short - regular
how should the nurse inject a subcutaneous injection
locate area.
bunch the skin
inject at 45-90 angle
hold med for 5-10 seconds
release
Name the insulin type that starts working within 15 minutes
What is rapid-acting insulin?
insulin aspart
insulin glulisine
insulin lispro
What are 3 side effects of hypoglycemia.
CV:Tachycardia, palpitation
CV may lead to cardiac dysrhythmias or MI
CNS:Irritability, Nervousness, weakness, confusion à seizures
Incoherent speech, visual changes, convulsion and coma
CNS effects may lead to accidental injury or permanent brain damage
GI: Hunger
Skin: Pale, moist, cool, Sweating
A patient's insulin-to-carbohydrate ratio is 1:10 and a HGC of 1:45>130
If they plan to eat a meal with 90 grams of carbohydrates, and their BG is 270.
How many units of insulin should they administer?
9 for carbs
3 for HGC
12 total