Insulin Action
This type of insulin has an onset of 15 minutes, peaks in about 1- 2 hours and a duration of 3-5 hours.
What is insulin lispro/aspart (rapid acting)?
Pain, tingling and numbness in extremities.
What is diabetic neuropathy?
Transports and metabolizes glucose for energy, signals liver to stop production of glucose, inhibits breakdown down of stored glucose, proteins and fats.
What is the function of insulin?
Type of diabetes that requires basal insulin at all times to prevent DKA.
What is type 1 DM?
This is done prior to x-ray, CT scan, PET scan or MRI.
What is remove insulin pump and/or CGM?
This type of insulin acts as the body's natural secretion of insulin while fasting. Onset is about 2 hours and does NOT have a peak time. Duration is about 24 hours. Give at the same time each day.
What is insulin glargine (long-acting)?
Fruity smelling breath, nausea, vomiting, abdominal pain, and tachypnea.
What are symptoms of DKA?
ACIDS THAT ARE FORMED WHEN FAT IS METABOLIZED IN THE ABSENCE OF INSULIN
Simple sugars like, 6oz. of regular white soda, 4 oz of apple juice, 1/2 cup of regular jello. (Each item contains 15 grams of sugar).
What are oral treatment options for hypoglycemia?
Documenting these assessments each shift is required in flowsheets when an insulin pump is present.
What is insulin pump assessment (pass/fail screen) and LDA assessment?
This type of insulin has an onset of 30 to 60 minutes, peaks in 2-3 hours and a duration of 5-8 hours.
What is REGULAR INSULIN (Short-acting)?
Polydipsia, polyuria, polyphagia, blurred vision and fatigue.
What are symptoms of hyperglycemia?
This most commonly occurs when there is severe hyperglycemia, (>600 mg/dL), with scant to no ketones present.
What is HYPERGLYCEMIC HYPEROSMOLAR NONKETOTIC SYNDROME (HHS)?
This can be given to treat Hypoglycemia when a patient is NPO and DOES NOT have IV access.
What is IM Glucagon?
This device reads and monitors blood sugars by way of interstitial fluid and has about a 20-minute lag time.
What is a continuous glucose monitor (CGM)?
This type of insulin has an onset of 2-4 hours, peaks in 4-10 hours, duration is 10-16 hours. Usually needs to be dosed 2 times a day for proper coverage.
What is NPH (Intermediate-acting)?
What are symptoms of hypoglycemia?
The pancreas makes little to no insulin in this condition. It is NOT inherited but there is a genetic predisposition to developing it.
What is type 1 diabetes?
Inspect feet daily, wash daily, keep top and bottom of feet moisturized, (smooth skin), DO NOT soak feet, wear shoes when up walking.
What is diabetic FOOTCARE?
This type of insulin delivery refers to continuous insulin in small amounts all day, rates may change throughout the day.
What is a basal insulin rate?
This insulin consists of two different insulins, and dual peak times, duration is about 10-16 hours.
What is mixed insulin (70/30, 75/25, 50/50)?
VISUAL CHANGES DUE TO MICROVASCULAR DISEASE
What is DIABETIC RETINOPATHY
This occurs when uncontrolled blood sugars over time causes nerve damage to the extremities.
What is diabetic neuropathy?
These are available when I'm not sure about something: Policy Tech, charge nurse, house supervisor or diabetes educator.
What are available resources?
This type of insulin delivery is initiated by the patient when they enter the amount of carbs eaten and a blood sugar.
What is a mealtime bolus?