Class
Nursing Implications
Onsets, Peaks, Durations
Signs & Symptoms
100

regular insulin (Humulin R and Novolin R)

What is short duration, short acting insulin?

100

Class of insulin that should never be mixed 

What is long duration insulin?

100

Duration of glargine (Lantus)

What is 18 - 24 hours?

100

Signs and symptoms of mild hypoglycemia 

what is headache, confusion, drowsiness and fatigue?

200

Two short duration, rapid acting insulins

What is lispro (Humalog), aspart (Novolog), glulisine (Aprida)?

200

cloudy and clear insulin 

What is intermediate duration insulin?

What is short duration insulin?

Bonus: what is the mixing order?

200
Peak of intermediate duration insulin 

What is 6 - 14 hours

200

Signs and symptoms of severe hypoglycemia 

What is convulsions, coma and death?

300

glargine (Lantus)

What is long duration insulin?

300
Lab test that will give the average blood sugar over the last 3 months 

What is Hgb A1C?

300

Peak of long duration insulin 

What is none?

300

hypoglycemia blood glucose level 

What is less than 70 mg/dL?

400

Intermediate duration insulin 

What is nph (Humulin N, Novolin N)?

400

These are three topics that should be taught to a diabetic client

What is 

 - select a consistent site (ex. abdomen) making injections in different spots one inch apart 

- recognize signs and symptoms of hypoglycemia 

- identify fast acting oral sugar (glucose tabs, orange juice, sugar cubes, honey, non-diet soda, corn syrup

400

onset of lispro? aspart?

what is 15 - 30 minutes?

what is 10 - 20 minutes?

400

Signs and symptoms of insulin reaction

What is hypoglycemia, tachycardia, palpitations, sweating and nervousness?

500

Mechanism of action for insulin  

What is stimulates cellular uptake of glucose, amino acids and potassium?

500

Short duration insulin is given based off of it.

What is a "sliding scale"?

500

When the nurse should teach the client to administer her regular insulin.

What is 30 minutes before a meal? 

500

D.H. is a 45 y.o. client with type 2 diabetes. Upon your assessment, you see he is sweating and is complaining of a headache but still conscious. These are the nursing interventions you should  implement.

What is give him 15 g of Carbohydrates, such as 4oz of fruit juice or 2 sugar cubes?