Insulin Flashcards
(26 cards)
Aspart
Rapid-Acting
Onset: 15min
Peak:1-3hr
Duration: 3-5hr
Glulisine
Rapid-Acting
Onset: 18min
Peak: 30min-1.5hr
Duration: 3-4hr
Lispro
Rapid-Acting
Onset:15min
Peak: 30min-1.5hr
Duration: 5hr
Regular
Short-Acting
Onset: 30min
Peak: 2-4hr
Duration: 5-12hr
Humulin R
Short-Acting
Onset: 1.5hr
Peak: 4-12hr
Duration: 24hr
NPH
Intermediate-Acting
Onset: 1-4hr
Peak: 2-12hr
Duration: 10-24+hr
70 isophane/ 30 human
Intermediate-Acting
Onset: 30min
Peak: 2-12hr
Duration: 24hr
70 aspart protamine/ 30 aspart
Intermediate-Acting
Onset: 15min
Peak: 1-4hr
Duration: 24hr
75 lispro protamine/ 25 lispro
Intermediate-Acting
Onset: 15min
Peak: 1-2hr
Duration: 24hr
Glargine
Long-Acting
Onset: 2-4hr
Peak: None
Duration: 24hr
Glargine u-300
Long-Acting
Onset: 2-4hr
Peak: 12hr
Duration: 24hr
Detemir
Long-Acting
Onset: 1hr
Peak: 6-8hr
Duration: 5.7-24hr
Degludec u-100, u-200
Long-Acting
Onset: 1hr
Peak: 9hr
Duration: 42hr
How to teach a patient to self administer insulin
- how to determine if insulin is expired
- keep medication in original labeled container & refrigerate if needed
- demonstrate how to prep insulin in a syringe, knows how to draw up correct amount
- coach through steps of subq injection
- rotate injection sites
- how to determine how much is needed based on glucose level
- keep daily log of injections
Mixing rapid or short acting with intermediate
Draw up rapid or short acting then intermediate acting
Mixing two intermediate
Draw up either first
How quickly must a mixed insulin injection be given
5 minutes
Size of needle for injection
4mm for most adults
Syringe used for u-100 insulin
100 unit insulin syringe
What insulin can be given intravenously
Regular acting
Sliding scale insulin/correctional insulin
Provides dose of insulin based on blood glucose level. Small dose of rapid or short acting insulin.
How to resuspend cloudy insulin
Gently roll vial between palms of hands. Do not shake!
What insulins cannot be mixed
Insulin Glargine
Insulin Detemir
How quickly must a mixture of rapid acting and NPH need to be administered
Within 15min before a meal
