Test 2 - Insulin Administration (Josh) Flashcards
—- & —– are two of the most common medication errors.
Insulin & Heparin
Who needs insulin?
everybody, just some produce enough themselves and others cannot produce enough and needs drugs
To test how much insulin a person produces, we check —– level
c-peptide
insulin shots don’t have it, so we can tell diff. b/t endogenous insulin and administered insulin
– in – heath care dollars is spent on caring for diabetics.
1 in 5 ($322 billion annually)
—- people have diabetes.
30 million
Before insulin, —– was terminal.
T1DM
Insulin stimulates cellular —– of glucose and also stimulates —–
uptake
glycogen storage in liver
Why are glucose symptoms neurological?
brain only uses glucose for energy/fuel (doesn’t have any other fuel sources)
Rapid Acting Insulins
- Lispro (HumaLog)
- Aspart (NovoLog)
- Glulisine (Apidra)
Short-Acting Insulins
Regular (R)
Intermediate Acting Insulins
NPH
Regular Insulin takes —– to start working.
~ 30-60 mins
peaks 2-3 hrs
Rapid Acting Insulins take —- to start working.
~10-20 mins
peaks 30-90 mins
Insulin is —–.
OTC (don’t need a prescription, but commonly have one)
Strongest affect for Rapid Acting Insulin
30-90 mins
—- is the amount that is regularly produced when not eating (also amount released w/ Long Acting).
Basal
Which diabetic would be more sensitive to insulin?
T1DM
Quick fix foods to eat when experiencing hypoglycemia.
milk fruit juice soda pop (not diet) candy 1 T of sugar/honey
—- is the only cloudy insulin.
NPH
Unrefrigerated insulin is only good for —–
28 days
Which insulins are given based on sliding scale?
short or rapid acting
- — amount is the amount over 24 hours.
- — amount is given at certain times (after eating, correct elevated blood sugar, etc.)
Basal
Bolus
Increasing insulin —– glucose.
lowers
IV insulin would most likely be given in which unit in the hospital?
ICU
