Test 2 - Insulin Administration (Josh)

Question 1

—- & —– are two of the most common medication errors.

Answer 1

Insulin & Heparin

Question 2

Who needs insulin?

Answer 2

everybody, just some produce enough themselves and others cannot produce enough and needs drugs

Question 3

To test how much insulin a person produces, we check —– level

Answer 3

c-peptide

insulin shots don’t have it, so we can tell diff. b/t endogenous insulin and administered insulin

Question 4

– in – heath care dollars is spent on caring for diabetics.

Answer 4

1 in 5 ($322 billion annually)

Question 5

—- people have diabetes.

Answer 5

30 million

Question 6

Before insulin, —– was terminal.

Answer 6

T1DM

Question 7

Insulin stimulates cellular —– of glucose and also stimulates —–

Answer 7

uptake

glycogen storage in liver

Question 8

Why are glucose symptoms neurological?

Answer 8

brain only uses glucose for energy/fuel (doesn’t have any other fuel sources)

Question 9

Rapid Acting Insulins

Answer 9

• Lispro (HumaLog)
• Aspart (NovoLog)
• Glulisine (Apidra)

Question 10

Short-Acting Insulins

Answer 10

Regular (R)

Question 11

Intermediate Acting Insulins

Answer 11

NPH

Question 12

Regular Insulin takes —– to start working.

Answer 12

~ 30-60 mins

peaks 2-3 hrs

Question 13

Rapid Acting Insulins take —- to start working.

Answer 13

~10-20 mins

peaks 30-90 mins

Question 14

Insulin is —–.

Answer 14

OTC (don’t need a prescription, but commonly have one)

Question 15

Strongest affect for Rapid Acting Insulin

Answer 15

30-90 mins

Question 16

—- is the amount that is regularly produced when not eating (also amount released w/ Long Acting).

Answer 16

Basal

Question 17

Which diabetic would be more sensitive to insulin?

Answer 17

T1DM

Question 18

Quick fix foods to eat when experiencing hypoglycemia.

Answer 18

milk
fruit juice
soda pop (not diet)
candy
1 T of sugar/honey

Question 19

—- is the only cloudy insulin.

Answer 19

NPH

Question 20

Unrefrigerated insulin is only good for —–

Answer 20

28 days

Question 21

Which insulins are given based on sliding scale?

Answer 21

short or rapid acting

Question 22

• — amount is the amount over 24 hours.

- — amount is given at certain times (after eating, correct elevated blood sugar, etc.)

Answer 22

Basal

Bolus

Question 23

Increasing insulin —– glucose.

Answer 23

lowers

Question 24

IV insulin would most likely be given in which unit in the hospital?

Answer 24

ICU

Question 25

• — have insulin.

- — don’t have insulin.

Answer 25

T2DM

T1DM

Question 26

How do you teach T1DM patients to test for DKA at home?

Answer 26

urine pH strips

Question 27

Glucagon injections are given to patients with ——

Answer 27

hypoglycemia

Question 28

T1DM need —– & —– when they’re hypoglycemic.

T2DM need —- when they’re hypoglycemic.

Answer 28

protein (milk) & juice (sugar)

juice (sugar)

Question 29

—– is normal insulin concentration in U.S.

—– is for insulin resistance.

Answer 29

U-100

U-500

Question 30

Long Acting Insulin

Answer 30

Insulin Glargine (Lantus)

Insulin Detemir (Levemir)