Administration
Monitoring
Onset
Peak
The whole shebang
100
This is the only insulin that can be administered IV.
What is regular insulin?
Would also accept Humulin R / Novolin R -->make sure you realize those are brand names for REGULAR insulin
100
This lab value indicates hypoglycemia.
What is blood glucose less than 70 mg/dL?
100
onset 10-30 Minutes
What is RAPID ACTING insulin?
100
Insulin lispro
What is 30 min - 3 hours?
100
Rapid/Short-acting insulin is administered before meals. This is an example of BASAL / BOLUS coverage.
What is BOLUS coverage?
200
Angle of subcutaneous injection
What is 45-90 degrees?
200
This lab value gives the best indication of long-term blood sugar control.
What is A1C?
200
Short-acting insulin
What has an onset of 30 min - 1 hour?
200
This insulin has no pronounced peak and provides basal coverage.
What is insulin glargine?
Would also accept Lantus --> be sure to know non-brand names, though!
200
NPH is a(n) ________-acting insulin
What is INTERMEDIATE?
300
Roll this cloudy insulin before drawing it up.
What is NPH?
300
This is the priority action if a patient is conscious and hypoglycemic.
What is give 15 grams of fast-acting carbohydrate?
300
Intermediate-acting
What is 1.5 - 4hrs?
300
Peak 4 - 12 hours
What is INTERMEDIATE-acting insulin?
300
This image illustrates a potential complication of long-term subcutaneous insulin therapy.
What is lipodystrophy?
400
When drawing up Regular insulin + NPH in a single syringe, this is the correct order.
What is Regular and then NPH?
Remember: CLEAR --> CLOUDY
400
When the Somogyi effect is suspected, test blood sugar between 0200 - 0400 and anticipate finding:
What is hypoglycemia?
Remember, the early morning high blood sugar of SOmogyi is REBOUND HYPERGLYCEMIA
400
Long-Acting Insulin
What is 48 min (0.8 hours) - 4 hours
400
This is why it is important to know when an insulin's action peaks.
What is highest risk for hypoglycemia is at peak action?
400
This patient will rely on insulin therapy for the remaining lifespan.
What is a Type I diabetic?
500
Insulin is ONLY administered from this type of syringe, which is measured in ____.
What is an INSULIN syringe, measured in UNITS?
Seriously ---> never, ever, ever, ever, ever. Not ever would you draw up insulin any other way!!!!
500
For this test, a patient consumes a special solution with 75g of glucose. At a 2hr interval, the patient's plasma glucose level is tested.
What is an OGTT?
Or, "Oral Glucose Tolerance Test"
POSITIVE for diabetes if glucose level is 200mg/dL or higher
500
Within what timeframe of administering rapid acting insulin should a patient eat?
What is 15 minutes?
500
Novolin R
What is 2-5hrs?
Novolin R is a REGULAR insulin which is SHORT ACTING
500
Life-threatening complication of diabetes in which insulin deficiency leads to hyperglycemia, ketone production, and metabolic acidosis.
What is DKA? (diabetic ketoacidosis)
Remember, Poly hikes where Definite Killer Avalanches occur! Type I diabetics are at greater risk of DKA than are Type II diabetics.