Insulin Administration 1
What is "onset" refer to?
The amount of time it takes for a medication to begin to work
Where should the syringe and needle be placed after use?
In a puncture-resistant sharps container
How many times should a medication be checked against the MAR for accuracy before administration?
3 checks
Name a leading cause of blindness in the United States
Glaucoma
Cataracts
Age-related macular degeneration
What score is required for passing the state insulin exam?
88%
What is the "peak" of a medication?
The time when the medication reaches its greatest effectiveness
An opened insulin vial can be stored in the refrigerator or at controlled room temperature and must be discarded after _________
28 days
At what angle should an insulin syringe be inserted?
45-90 degrees
Diabetes causes damage to blood vessels which causes what substance to leak into the urine?
Protein
How many attempts at taking the state insulin exam are allotted?
3
What is the "duration" of a medication?
The amount of time during which the medication lasts in the body
An unopened insulin vial must be refrigerated at how many degrees?
36-46 degrees Fahrenheit
If using a cloudy insulin, how is it mixed?
Roll the vial between your hands 3-4 times
Indigestion, nausea, vomiting, gastroparesis, bowel/bladder dysfunction, sexual dysfunction, abnormal response to blood pressure, heart, lung, and eye problems are all symptoms of which type of neuropathy?
Autonomic neuropathy
How long does an individual have from the competency verification to successfully complete the written exam?
12 months
What strength of insulin can a QMA NOT administer?
U-500 or greater
An open insulin pen can be stored at room temperature and must be discarded after _______
7-28 days (Check manufacturer's instructions)
When using an insulin pen, how many units should be used to prime the pen?
2 units
What yeast infection in the mouth is a common diabetic complication?
Thrush (candidiasis)
How many total hours of inservice education is required per year for QMAs who are insulin certified?
6 hours related to medication with an additional 1 hour related to insulin
What are the 3 parts of a syringe?
1. The hub that attaches to the needle
2. The barrel that contains the measurement marks
3. The plunger that is used to withdraw and inject the medication
What are the most common injection sites for insulin?
Abdomen, outer thighs, backs of arms, and buttocks
Insulin Sliding Scale
BG 70-150 = 0 units
BG 151-200 = 2 units
BG 201-250 = 4 units
BG 251-300 = 6 units
BG 301-350 = 8 units
>350 = Notify MD
BG is 250, how many units should be administered?
4 units
What is the most common cause of a stroke in a diabetic resident?
Blood clot
What is the fee for QMA license renewal?
No fee