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Pharmacology Exam 1 > Diabetes > Flashcards

Flashcards in Diabetes Deck (82)
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1

S/S of hypOglycemia?

-Rapid onset and progression on symptoms
-Headache
-Difficulty problem solving
-Disturbed or altered behavior
-Coma
-Seizures
-Hunger
-Anxiety
-Tachycardia
-Sweating
-Cool and clammy skin

2

Early S/S of hypERglycemia?

-Frequent urination
-Increased thirst
-Blurred vision
-Fatigue
-Headache

3

Late S/S of hypERglycemia?

-Fruit-smelling breath
-N & V
-SOB
-Weakness
-Confusion
-Coma
-Abd. pain

4

When is hypoglycemia most likely to occur when receiving insulin?

@ peak (most amount of insulin in system at this time)

5

Is rapid acting insulin bolus insulin?

Yes

6

When inpatient when do you give rapid acting insulin?

Immediately before meals (if give to far ahead=hypoglycemia which is more dangerous)

7

When at home when do you give rapid acting insulin?

Inject and eat

8

What routes can rapid acting insulin be given?

-Sub Q
-IV
-Cont. pump infusion

9

How does rapid acting insulin come?

Vial or pen

10

Can rapid acting insulin be mixed with NPH in the same syringe?

Yes

11

What are examples of rapid acting insulin?

-Insulin lispro, aspart, glulisine

12

Is there a form of concentrated rapid acting insulin?

Yes, concentrated lispro= U-200

13

What is the onset of rapid acting insulin?

5-15 minutes

14

When does rapid acting insulin peak?

1-2 hours

15

What is the duration of rapid acting insulin?

4-6 hours

16

Is short acting insulin similar to rapid acting insulin?

Yes

17

When is short acting insulin injected?

Before meal

18

Is short acting insulin older and less expensive?

Yes

19

Can you obtain short acting insulin "behind the counter"?

Yes

20

What is the onset time of short acting insulin?

30 min- 1 hour

21

When does short acting insulin peak?

2-5 hours

22

What is the duration of short acting insulin?

5 - 8 hours

23

What routes can short acting insulin be given?

-Sub Q
-IV: DKA or hyperkalemia
-IV: insulin drip (100 units)

24

Can short acting insulin be mixed with NPH in the same syringe?

Yes

25

What are examples of short acting insulin?

-Humulin R
-Novolin R

26

Does short acting insulin come in a concentrated form?

Yes, concentrated U-500

27

How concentrated is U-500 short acting insulin than typical concentrations of insulin?

-Five times more concentrated than U-100

28

1ml of U-500 contains how many units of insulin?

-500 units
(-50 units of U-100 would require 0.5ml, while 50 units of U-500 would require 0.1ml)

29

Is U-500 insulin clear?

Yes

30

Who is U-500 insulin for?

The Who require>200 units of insulin a day