DM Pharm (NUR 325) Created by Diana Hallis

Question 1

Primary goal of diabetic pharmacology

Answer 1

prevent hyperglycemia and decrease chance of long-term complications

Question 2

Must maintain a __ glycemic control and blood lipid levels

Answer 2

tight

Question 3

Maintain a tight glycemic control by keeping a diabetic’s blood sugar between

Answer 3

80-140

Question 4

For a diabetic you want to keep A1C

Answer 4

Less than 7

Question 5

Keep close eye on a diabetic’s

Answer 5

fasting blood glucose levels, AIC, triglycerides, and cholesterol levels

Question 6

All insulin is given

Answer 6

subcut only

Question 7

Rapid acting insulin

Answer 7

Insulin lispro (Humalog/Novalog)

Question 8

Short acting insulin

Answer 8

human regular (Humulin R/Novolin R)

Question 9

Intermediate acting insulin

Answer 9

NPH (Humulin N)

Question 10

Long acting insulin

Answer 10

glargine (Lantus)

Question 11

Short acting insulin (regular insulin) is the only one that isn’t

Answer 11

given subcut

Question 12

Where is insulin given?

Answer 12

Back of arms, stomach, or thighs

Question 13

Rapid acting insulin (lispro) starts working in

Answer 13

15 minutes

Question 14

Rapid acting (lispro) will peak in

Answer 14

1 hour

Question 15

Rapid acting insulin (lispro) will continue to work for

Answer 15

2-4 hours

Question 16

Rapid acting insulin (lispro) is given ______ meals to control postprandial meal glucose rises

Regular insulin (short acting) is given ______ meals to control postprandial hyperglycemia

Answer 16

with meals

before meals

Question 17

Insulin rapid make sure to give

Answer 17

WITH FOOD!

Question 18

Insulin lispro/rapid must be used in conjunction with

Answer 18

intermediate or long acting insulin

Question 19

Regular insulin (short acting) onset

Answer 19

30-60 minutes

Question 20

Regular insulin (short acting) peak

Answer 20

2-6 hours

Question 21

Regular insulin (short acting) duration

Answer 21

3-8 hours

Question 22

Regular insulin (short acting) can also be given for

Answer 22

longer acting glycemic control

Question 23

Regular insulin (short acting) is often given to patients with

Answer 23

tube feeding because they receive tube feeding 24 hours per day

Question 24

Only type of insulin give IV/through infusions

Answer 24

short acting regular insulin

Question 25

NPH insulin (intermediate acting)

Answer 25

Neutral protamine hagedron (NPH)

Question 26

The __ helps slow down the absorption in NPH so that it lasts longer throughout the day

Answer 26

protamine

Question 27

"extended release insulin"

Answer 27

NPH

Question 28

Onset of NPH insulin (intermediate acting)

Answer 28

2-4 hours

Question 29

Peak of NPH insulin (intermediate acting)

Answer 29

4-10 hours

Question 30

Duration of NPH insulin (intermediate acting)

Answer 30

10-20 hours

Question 31

With NPH insulin you won't experience

Answer 31

A big peak like you would with regular or lispro insulin

Question 32

NPH is the __ looking insulin

Answer 32

Cloudy

Question 33

Before administering NPH you need to

Answer 33

shake the bottle

Question 34

NPH insulin (intermediate acting) is typically administered

Answer 34

twice daily to help with glycemic control with meals and throughout the night

Question 35

NPH is the only insulin that is

Answer 35

combined in a shot with another type of insulin

Question 36

NPH insulin (intermediate acting) can be combined with...

Answer 36

lispro (rapid acting) and regular insulin (short acting)

Question 37

When mixing insulin, which one do draw up in the syringe first?

Answer 37

The rapid or short acting insulin/the lispro or regular insulin

Question 38

How to remember which one to draw up first

Answer 38

Clear before cloudy

Question 39

What do you not want to happen when drawing up two insulins in the same syringe?

Answer 39

You don't want them to mix, so you need to draw it up and then give it to the patient right away. Don't let it sit

Question 40

Glargine is a __ acting insulin

Answer 40

long acting insulin

Question 41

Glargine (long acting insulin) is indicated for

Answer 41

once per day dosing

Question 42

Glargine (long acting insulin) onset is

Answer 42

70 minutes and it lasts all day

Question 43

You do not have a __ with glargine like other types of insulin

Answer 43

peak

Question 44

You should never do what with glargine (long acting) insulin?

Answer 44

Mix with other insulins. Must be given in its own shot

Question 45

Glargine (long acting insulin) is typically given at __

Answer 45

at night