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Insulin, oral hypoPG

Nursing pharm, drug category by key points

QuestionAnswer
Lispro/ Humalog, aspart / NovoLog Insulin rapid acting: Onset 5-15 min, Peak 40 min - 1 hr, duration 3-6 hr, hypoglycemia seen mid morning, trembling, weakness
Regular, Humulin R Insulin Short acting: Onset 30-60 min, Peak 2-3 hrs, Duration 4-6h, Hypoglycemia midday, weakness and fatigue
Isophane NPH Insulin Intermediate acting: onset 2-4h, peak 6-12h, duration 16-20h, hypoglycemia evening, weakness fatigue
Glargine, Lantus Insulin Very long acting: onset 4h, peak no peak, duration 24h.
Ultralente, humalin Insulin Slow acting: onset 4h, peak 8-20h, duration 24-36h. Hypoglycemia evening, NOC, next am
Humalin 70/30 Insulin Combo: onset 30min, Peak 2-12h, Duration 24h.
Metformin/ Glucophage, Glipizide/ Glucotrol, Glyburide/ Micronase Oral hypoglycemic: take longer to work, GI upset, take before meals, teach family ssx hypoglycemia, assess for allergy, affects birth control
Glucagon Reverses hypoglycemia: hypoTN, Bronchospasm, may need to reapeat q15 min.
Created by: vickyv