Insulin

Question 1

When reconstituting which insulin do you draw up first

Answer 1

short acting (clear)

Question 2

solute

Answer 2

solid material AKA powdered med

Question 3

diluent

Answer 3

specific fluid used to dissolve solute

Question 4

solution

Answer 4

solute and diluent thoroughly mixed

Question 5

What are rapid acting insulins

Answer 5

aspart
lispro
glusiline

Question 6

what are intermediate acting

Answer 6

insulin isophane supsension

Question 7

what are long acting

Answer 7

glargine
detemir

Question 8

Diabetes Mellitus

Answer 8

chronic metabolic diseases due to insufficient insulin secretion and/or utilization
characterized by elevated blood glucose and abnormal carbohydrate metabolism

Question 9

Diabetes mellitus type 1

Answer 9

characterized by elevated blood glucose levels due to insufficient insulin production and/or destruction of beta cells in the pancreatic islets of Langerhans

requires lifelong insulin replacement

Question 10

Diabetes Mellitus type 2

Answer 10

most common form
characterized by elevated blood glucose levels due to insufficient insulin utilization and/or insufficient insulin production
can be controlled with diet and lifestyle changes

Question 11

Diabetic ketoacidosis

Answer 11

emergency condition and complication of diabetes diagnoses by elevated blood glucose levels
blood pH less than 7.3
elevated ketones in blood and urine
often coma
requires hospitalization and insulin therapy and other meds

Question 12

Glucagon

Answer 12

blood glucose- raising hormone secreted by alpha cells in pancreatic islets of Langerhans

released in response to a fall below normal blood glucose levels

may be admin as treatment for severe hypoglycemia levels

Question 13

hypoglycemia

Answer 13

decreased level of glucose in blood

usually more severe in insulin-dependent patients

major potential adverse effect of insulin admin

Question 14

Insulin

Answer 14

blood glucose-lowering hormone produced by beta cells of the islets of Langerhans in the pancreas

facilitates entry of glucose into muscle cells and other sites for storage as an energy source

insulin helps glucose get IN to cells

Question 15

insulin shock

Answer 15

urgent hypoglycemic condition
may be caused by an overdose of insulin for current glucose level or as a result of taking usual dose of insulin followed by inadequate or delayed dietary intake

Question 16

glycosylated hemoglobin (A1c)

Answer 16

determines average blood glucose level over the past 2-3 months by measuring the amount of glucose attached to hemoglobin in the RBCs

Question 17

insulin apart onset of action

Answer 17

10-20 min

Question 18

insulin lispro onset of action

Answer 18

15-30 min

Question 19

insulin glusiline onset of action

Answer 19

20-30 min

Question 20

NPH insulin onset

Answer 20

1-2 hr

Question 21

insulin glargine onset

Answer 21

1 hr

Question 22

insulin detemir onset

Answer 22

0.8- 2hr

Question 23

reconstitution steps

Answer 23

1. read label and gather correct supplies + diluent
2. un-tab both vials
3. draw up correct # of mL of air
4. inject air into diluent vial and withdraw
5. inject diluent into solute vial
6. change needles

Question 24

how to mix insulin

Answer 24

1. gather supplies + check insulin and roll NPH
2. draw air of Rx NPH amount
3. inject air to NPH vial do not withdraw only pull out syringe
4. draw up air of Rx regular insulin
5. inject air and withdraw regular insulin
6. withdraw from NPH without pushing any med from the syringe in