Flashcards in Diabetes Deck (82)
S/S of hypOglycemia?
-Rapid onset and progression on symptoms
-Difficulty problem solving
-Disturbed or altered behavior
-Cool and clammy skin
Early S/S of hypERglycemia?
Late S/S of hypERglycemia?
-N & V
When is hypoglycemia most likely to occur when receiving insulin?
@ peak (most amount of insulin in system at this time)
Is rapid acting insulin bolus insulin?
When inpatient when do you give rapid acting insulin?
Immediately before meals (if give to far ahead=hypoglycemia which is more dangerous)
When at home when do you give rapid acting insulin?
Inject and eat
What routes can rapid acting insulin be given?
-Cont. pump infusion
How does rapid acting insulin come?
Vial or pen
Can rapid acting insulin be mixed with NPH in the same syringe?
What are examples of rapid acting insulin?
-Insulin lispro, aspart, glulisine
Is there a form of concentrated rapid acting insulin?
Yes, concentrated lispro= U-200
What is the onset of rapid acting insulin?
When does rapid acting insulin peak?
What is the duration of rapid acting insulin?
Is short acting insulin similar to rapid acting insulin?
When is short acting insulin injected?
Is short acting insulin older and less expensive?
Can you obtain short acting insulin "behind the counter"?
What is the onset time of short acting insulin?
30 min- 1 hour
When does short acting insulin peak?
What is the duration of short acting insulin?
5 - 8 hours
What routes can short acting insulin be given?
-IV: DKA or hyperkalemia
-IV: insulin drip (100 units)
Can short acting insulin be mixed with NPH in the same syringe?
What are examples of short acting insulin?
Does short acting insulin come in a concentrated form?
Yes, concentrated U-500
How concentrated is U-500 short acting insulin than typical concentrations of insulin?
-Five times more concentrated than U-100
1ml of U-500 contains how many units of insulin?
(-50 units of U-100 would require 0.5ml, while 50 units of U-500 would require 0.1ml)
Is U-500 insulin clear?