types of insulin
insulin administration
insulin action times
insulin side effects
Insulin nursing and everything else
100

this type of insulin has an onset of 30-60 min

regular insulin

100

This is the most common method of insulin delivery.

What is subcutaneous injection?

100

This is the term for the time it takes for insulin to start lowering blood glucose

What is onset time?

100

The most common side effect of insulin is this condition.

What is hypoglycemia?

100

Once opened, insulin vials are usually safe to use for this many days.

what is a month

200

This insulin works steadily over a full 24-hour period without peaking.

and tell me the drug name 

What is long-acting insulin? 

glargine

determir

200

Name the device that delivers a continuous supply of insulin through a catheter placed under the skin.

What is an insulin pump?

200

The peak action time for this insulin is about 1-3 hours after injection

What is short-acting insulin?

200

This side effect can occur if insulin is injected repeatedly into the same spot.

What is lipohypertrophy?

200

client has a BG of 52. The client is telling you about what happened during the day and while taking a sip of their "diet" swig drink. what should you do first?

15/15 rule

300

Name the insulins that combines both short-acting and intermediate-acting insulin in one injection.

 regular insulin and NPH (isophane suspension)

300

Insulin should be injected into this part of the body for the fastest absorption.

What is the abdomen?

300

This long-acting insulin has an onset of action in 1-2 hours with no peak

What is insulin glargine (Lantus)?

300

This term describes an allergic reaction to insulin.

What is insulin allergy?

300

If a patient's insulin-to-carbohydrate ratio is 1:8 and they plan to eat a snack with 20 grams of carbohydrates, how many units of insulin should they inject?

3 units

400

this type of insulin is given IV

regular insulin

400

Rotating injection sites helps to prevent this skin condition.

What is lipodystrophy?

400

The duration of action for rapid-acting insulin is typically this long

What is 3-5 hours? 

3-8 hr?

400

Common side effect if the client did not get enough insulin.

the 3 P's

polyuria

polydipsia (increase thirst)

polyphasia (increase hunger)

400

You found client laying on the floor mumbling and in and out of sleep. You decide to take a BG and it's 46.

what should you do?

call doc for glucagon 

500

what 2 types of insulin are usually taken before meals.

and tell me the drug name for each type

What is rapid-acting and short actin insulin?

insulin aspart

insulin glulisine

insulin lispro


short - regular

500

how should the nurse inject a subcutaneous injection

locate area. 

bunch the skin

inject at 45-90 angle

hold med for 5-10 seconds

release

500

Name the insulin type that starts working within 15 minutes

What is rapid-acting insulin?

insulin aspart

insulin glulisine

insulin lispro

500

What are 3 side effects of hypoglycemia.

CV:Tachycardia, palpitation

CV may lead to cardiac dysrhythmias or MI

CNS:Irritability, Nervousness, weakness, confusion à seizures

Incoherent speech, visual changes, convulsion and coma

CNS effects may lead to accidental injury or permanent brain damage

GI: Hunger

Skin: Pale, moist, cool, Sweating

500

A patient's insulin-to-carbohydrate ratio is 1:10 and a HGC of 1:45>130

 If they plan to eat a meal with 90 grams of carbohydrates, and their BG is 270.

How many units of insulin should they administer?

9 for carbs

3 for HGC

12 total