Insulin
Diabetes Mellitus
Emergency Treatment
Day to Day
Patient Education
100

Only insulin that can be administered by IV.

What is Regular Insulin (Humalin-R or Novolin-R)

(Other insulins must be given subcutaneously.)

100

This type of food makes up 45% to 65% of the recommended diabetic diet.

What is carbohydrates.

Limit fat to 25%-35% 

Allow 15%-20% of your daily calories for protein

100

This medication is used to treat Diabetes Insipitus.

What is vasopressin

Vasopressin, also known as antidiuretic hormone (ADH), is a hormone that helps the kidneys regulate the body's fluid balance. Diabetes insipidus (DI) occurs when the body doesn't produce enough vasopressin or the kidneys can't respond to it properly. This can cause the body to produce too much urine, which can lead to dehydration. 

100

This is the most common medication used to treat hypothyroidism.

What is levothyroxine (Synthroid)

  • Synthetic version of the thyroid hormone thyroxine (T4)
100

At what temperature should insulin be at to decrease any type of skin irritation.

What is room temperature.

According to the FDA, insulin products in vials or cartridges can be left unrefrigerated at room temperature (59–86°F) for up to 28 days and remain effective.

200

Lispro (Humalog) is used at mealtime. How quickly does it work (ONSET)?

What is 15 minutes

(Rapid Acting) 

200

This medication(s) is a commonly used biguanide that produces its antidiabetic effect by decreasing hepatic production of glucose and increasing insulin sensitivity. 

What is Metformin (Glucophage XL, Glucophase, Fortamet)

Metformin does not cause hypoglycemia like several other diabetes medications and for this reason it is one of the safest diabetes drugs available. 

200

This antithyroid drug is used to treat someone with thyroid storm.

What is PTU or methimazole

Thyroid storm, also known as thyrotoxic crisis, is a rare, life-threatening complication of hyperthyroidism that occurs when the thyroid gland suddenly releases a large amount of thyroid hormone. 

200

Short-acting insulin has this letter on the vial.

What is "R" for regular

200

How should a patient take medications like levothyroxine for hypothyroidism?

What is on an empty stomach

Levothyroxine absorption is decreased when taken at the same time as calcium, iron and some foods and other drugs. Take on an empty stomach 30-60 minutes.

300

These insulins are used for basal dose.

What is Glargine (Lantus) and Detemir (Levemir)

(Slow & Long Acting) 

300

This fasting glucose level is used to diagnose a person with DM.

What is 126 mg/dL or greater.

A fasting blood sugar level less than 100 mg/dL (5.6 mmol/L) is normal. A fasting blood sugar level from 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered prediabetes. If it's 126 mg/dL (7 mmol/L) or higher on two separate tests, you have diabetes.

300

What should a patient receive who has hypoparathyroidism to control tetany.

What is IV calcium gluconate

Hypoparathyroidism is a rare endocrine disorder that occurs when the parathyroid glands in the neck produce too little parathyroid hormone. This leads to low calcium levels in the blood, known as hypocalcemia. 

300

This is the most common treatment for Grave's Disease.

What is radioactive iodine

Because the thyroid needs iodine to produce hormones, the thyroid takes the radioiodine into the thyroid cells and the radiation destroys the overactive thyroid cells over time. 

300

How many grams of carbohydrates should someone receive when they become hypoglycemic and are still conscious?

What is 15 grams

The 15-15 rule—have 15 grams of carbohydrate to raise your blood glucose and check it after 15 minutes. If it’s still below 70 mg/dL, have another serving.

400

This insulin is the only one that is cloudy in appearance.

What is NPH  

  • NPH insulin should be drawn into the syringe LAST, after regular insulin
  • “RN” - regular before NPH
400
This is the target goal of a diabetic's A1C to show that their DM is well controlled.
What is less than 7%
400

What class of anti-hypertensive medication is used to treat someone with Thyroid Storm?

What is beta-blockers


Beta-blockers are often given to treat thyroid storm because they can block the effects of excess thyroid hormone and reduce symptoms of hyperthyroidism. These symptoms include: palpitations, tachycardia, tremulousness, anxiety, and heat intolerance. 

effect of blocking the peripheral conversion of inactive T4 to active form T3






400
Intermediate-acting insulin has this letter on its vial.
What is "N" for NPH
400
Managing diabetes involves nutrition and ______________.
What is exercise
500

When should NPH (Humulin N, Novolin N) peak?

What is 6 to 8 hours.

  • Peak time is the most important timing to know, since it’s at the peak that patients are most likely to experience hypoglycemia
500

This term describes the phenomenon in Type 2 diabetes where the body's cells become less responsive to insulin, leading to elevated blood sugar levels.

What is insulin resistance. 

Obesity (and belly fat), an inactive lifestyle, and a diet high in carbohydrates.

500

This hypertonic solution is used to treat the severe hyponatremia of SIADH.

What is 3% NaCl

SIADH is characterized by impaired water excretion leading to hyponatremia with hypervolemia.

500

When mixing insulins, what order should be followed?

What is clear to cloudy. (Fast-acting insulin [clear] should be drawn up first followed by Intermediate-acting [NPH- cloudy])

500

In addition to monitoring glucose levels during sick days, Type 1 diabetics should also monitor for what?

What is urine ketones.

Type 1 diabetics should monitor urine ketones because high levels can indicate a risk of developing DKA.