unit 2 117

Question 1

peaks in 30-90 mins

Answer 1

Insulin Lispro

Question 2

peaks in 1 hour

Answer 2

insulin aspart

Question 3

peaks in 1-5 hours

Answer 3

Insulin regular

Question 4

peaks in 4-12 hours (classic 8 hours)

Answer 4

Insulin Isophane Suspension

Question 5

no peak

Answer 5

insulin detemir and insulin glargine

Question 6

begins to work in 15-30 mins

Answer 6

Insulin Lispro and Insulin aspart

Question 7

begins to work in 30-60 min

Answer 7

insulin regular

Question 8

begins to work in 1-2 hours

Answer 8

Insulin Isophane Suspension

Question 9

begins to work unknown

Answer 9

insulin detemir

Question 10

begins to work 3-4 hours

Answer 10

insulin glargine

Question 11

duration 3-5 hours

Answer 11

Insulin lispro and insulin aspart

Question 12

duration 6-10 hours

Answer 12

insulin regular

Question 13

duration 16 hours

Answer 13

insulin isophane suspension

Question 14

duration 24 hours

Answer 14

insulin detemir and insulin glargine

Question 15

18-25 G needle

Answer 15

Intramuscular injection

Question 16

25-30 G needle

Answer 16

subcutaneous injection

Question 17

5/8”-1.5” needle

Answer 17

Intramuscular injection

Question 18

3/8”-5/8” needle

Answer 18

subcutaneous injection

Question 18

1-3 mL syringe

Answer 18

Intramuscular injection

Question 19

Can only inject 1 mL or less

Answer 19

Deltoid

Question 20

2-3 fingers below the acromion process

Answer 20

Deltoid

Question 21

Can inject 2 mL or less in adults (preferred in children)

Answer 21

Vastus lateralis

Question 22

halfway between the greater trochanter and lateral femoral condyle

Answer 22

Vastus lateralis

Question 23

site where gluteus medius and gluteus minimus meet

Answer 23

Ventrogluteal

Question 24

Can inject 3 mL, 5 mL if needed, use 1.5" needle

Answer 24

Ventrogluteal

Question 25

recommended site for adults

Answer 25

Ventrogluteal

Question 26

The site that is not recommended

Answer 26

Dorsogluteal

Question 27

allow the medication to not leak, use for irritation

Answer 27

Z-track

Question 28

glucose level 72-104

Answer 28

Normal

Question 29

glucose level less than 70

Answer 29

hypoglycemia

Question 30

glucose level 110-125

Answer 30

hyperglycemia

Question 31

Medication given in "love handles"

Answer 31

Lovenox

Question 32

Does not produce insulin

Answer 32

Type 1

Question 33

Produces insufficient insulin

Answer 33

Type 2

Question 34

medication given for hypoglycemia, increases blood sugar, given IV, IM, SubQ Recheck blood sugar every 15 min

Answer 34

Glucagon

Question 35

Do not give 48 hrs before IV contrast, increases sensitivity of cells to insulin, and decreases the production of glucose from liver S/E- Does not cause hypoglycemia ex (Metformin)

Answer 35

Biguanides

Question 36

Black box warning, Do not give to cardiac patients, increase use of glucose, and decreases liver production S/E- hypoglycemia, fluid retention, weight gain ex) Pioglitazone

Answer 36

Thiazolidiones

Question 37

Insulin given continuous IV

Answer 37

Insulin regular

Question 38

very concentrated, need 2nd nurse to verify

Answer 38

u500

Question 39

Insulins that you can mix

Answer 39

rapid, short, intermediate

Question 40

insulins you cannot mix

Answer 40

Long acting detemir and glargine

Question 41

prevents kidneys from reabsorbing glucose and sodium S/E- UTI, yeast infection ex) Empagliflozin

Answer 41

Sodium-Glucose Co-transporter 2 (SGL-2)

Question 42

decreases glucose concentration and delays gastric emptying Administered Subcutaneous Ex) dulaglutide, liraglutide)

Answer 42

Glucagon-Like peptide 1 (GLP-1)

Question 43

helps decrease glucagon secretion and delays gastric emptying given orally S/E- Pancreatitis, upper respiratory infection ex) Sitagliptin

Answer 43

Dipeptidyl peptidase inhibitors

Question 44

helps stimulate insulin secretion, can be combined with metformin S/E- hypoglycemia, GI upset, weight gain Ex) glyburide, glipizide, glimepiride

Answer 44

Sulfonylureas

Question 45

chemical reaction that happens in the body necessary to maintain life

Answer 45

metabolism

Question 46

cells that produce glucagon, glucagon increases glucose levels within the blood

Answer 46

Alpha cells

Question 47

cells in the pancreas that release insulin

Answer 47

beta cells

Question 48

works to increase blood sugar, produced by alpha cells

Answer 48

glucagon

Question 49

increases the sensitivity of cells to insulin, helps decrease the production of glucose from the liver

Answer 49

biguanides

Question 50

helps stimulate insulin secretion

Answer 50

sulfonylureas

Question 51

increase the use of glucose by the cells and decrease liver production of glucose

Answer 51

Thiazolidinediones

Question 52

helps decrease glucagon secretion and delays gastric emptying

Answer 52

dipeptidyl peptidase inhibitors

Question 53

prevents kidneys from reabsorbing glucose and sodium

Answer 53

sodium-glucose co-transporter (SGL-2)

Question 54

Decreases glucose concentration and delays gastric emptying

Answer 54

Glucagon-Like Peptide 1 agonists (GLP-1)

Question 55

deltoid landmarks

Answer 55

2-3 fingers below the acromion process

Question 56

vastus lateralis landmarks

Answer 56

one hand above the patella and one hand length below the greater trochanter

Question 57

ventrogluteal landmarks

Answer 57

hand over greater trochanter, thumb pointing towards groin, index finger pointing toward the anterior superior iliac spine, middle finger extends back towards iliac crest