Flashcards in T2-Diabetes Insulin Deck (52):
What are the short duration: rapid acting insulins?
What are the short duration: slower acting insulins?
What are the intermediate duration insulins?
What are the long duration insulins?
What is the trade name for insulin lispro?
What is the trade name for insulin aspart?
What is the trade name for insulin glulisine?
What is the trade name for regular insulin?
Humulin R, Novolin R
What is the trade name for NPH insulin?
Humulin N, Novolin N
What is the trade name for insulin glargine?
What is the trade name for insulin detemir?
What insulin can be mixed together?
NPH insulin (Humalin N and Novolin N) can be mixed with the short acting (Insulin Lispro, Insulin Aspart, Insulin Glulisine, Insulin Regular)
Can you mix Humalin N with Humalog?
Can you mix Novolin N with Lantus?
Can you mix Novolin N with Novolog?
Can you mix Humalin N with Insulin Aspart?
Can you mix NPH with Levemir?
Can you mix NPH with Apidra?
Can you mix NPH and regular?
Can you mix Humulin N with Humulin R?
Can you mix Novolin N with Novolin R?
Can you mix Novolin N with Insulin glargine?
Can you mix Humulin N with insulin detemir?
Can you mix Humulin N with Novolin R?
What is the cloudy insulin?
Is Humalin N clear or cloudy?
Is Humalin R clear or cloudy?
Is Novolin R clear or cloudy?
Is Novolin N clear or cloudy?
What is the most common and serious adverse effect of all insulin?
Why does hypoglycemia occur when taking insulin?
It occurs when insulin levels exceed insulin needs. So insulin takes care of the glucose in our body. When we have too much insulin then we "take care of" too much glucose and that causes our blood sugar to go down so we get hypoglycemia
What happens when glucose levels fall rapidly?
Activation of SNS so tachycardia, palpation, sweating, and nervousness
What happens when glucose levels fall gradually?
Symptoms limited to lose of CNS origin
Mild CNS symptoms are headache, confusion, fatigue, drowsiness
What is lipohypertrophy?
Accumulation of SQ fat
Why does lipohypertrophy occur?
Occurs when insulin is injected too frequently at the same site (fat accumulates because insulin stimulates fat synthesis)
Explain why injection sites for insulin must be rotated?
Rates of absorption vary among sites, patients should make all injection sites into the same general site..to reduce the risk of lipohypertrophy, injections within the chosen area should be made in DIFFERENT SPOTS preferably about ONE INCH apart. Ideally, each spot should be used ONLY ONCE A MONTH
Where should unopened vials of insulin be stored and how long are they good for?
In the refrigerator, DO NOT FREEZE, and can be used up to the expiration date on the vial
Where should current use vials be stored and how long are they good?
Kept at room temp, out of direct sunlight or extreme heat; can be kept up to a month!
Partially filled vials should be discarded after several weeks if left unused
Injecting insulin at room temp causes ____ and reduces the risk of ____
Less pain, reduces risk of lipodystrophy
Mixtures of insulin in prepared vials are good for ___ if stored at room temp.
Mixtures of insulin in prepared vials are good for ___ if refrigerated.
How should mixtures of profiled syringes (plastic or glass) be stored and how long are they stable for?
Stored in refrigerator vertically with the needle pointing up to prevent clogging; they will be stable for at least 1 WEEK, perhaps 2.