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Mixing Insulins

Mixing Insulin, blood glucose, and ketone testing

QuestionAnswer
What are the sites for fingerstick blood collection? fingers, earlobes, heels, and forearm
True or False:Equipment needed to do a fingerstick includes: lancet, alcohol, gauze, bandage, gloves, and collection device. true
true or false:You dont have to clean the fingerstick site with alcohol prior to the stick. false
true or false:milking the finger or warming the site of the fingerstick is not acceptible. false
true or false:when sticking the finger you must hold the finger up. false, hold the finger down
what equipment is needed for blood glucose monitoring? monitor, strips, lancet, alcohol, gauze, bandage, gloves
true or false:This is the correct procedure for blood glucose monitoring: stick the strip in monitor, clean site with alcohol, do stick and remove first drop with dry gauze and get blood sugar from second drop. true
true or false:vision and fine motor skills affect self monitoring or blood glucose. true
true or false:cost and technology do not affect self monitoring blood glucose. false
true or false:intellectual capacity and wellness affect self monitoring blood glucose. true
how oftern should can blood glucose be checked? may test up to 8 times a day
what is the purpose of blood glucose monitoring? it helps stabilize blood sugar and helps diabetics see how to maintain blood sugar.
true or false:the code on the bottle of strips does not have to match the code that is put into the monitor. false
Fasting blood sugar (before breakfast) levels should be _________? 80-120
2 hour postprandial (after meal) blood sugar should be _________? <140
true or false:insulin vials should be shaken. false, they should be rolled between the hands
true or false:when mixing insulins, first you inject air into the regular insulin. false, inject air into NPH first
true or false:when mixing insulins, regular insulin is drew up first. true
A nurse is getting ready to administer 10 units of NPH with 6 units of regular insulin. Explain the proper procedure for mixing these insulins. First, pull 10 units of air and inject into the NPH. Then, pull 6 units of air and inject into the regular insulin. Without removing syringe, turn regualar insuling upside down and pull up 6 units. Finally, turn NPH vial upside down and pull up 10 units.
When pulling up the NPH insulin, the nurse accidently pulled 12 units instead of 10. Is it ok for the nurse to inject the 2 extra units back into the vial? Explain. No, because when drawing up NPH the regular insulin is already in the syringe and will also be injected back into the NPH vial offsetting the correct dose
How many units of regular insulin should be given for a glucose level of 200-240? 4 units
how many units of regular insulin should be given for a glucose level of 241-250? 6 units
how many units of regular insulin should be given for a glucose level of 251-300? 8 units
how many units of regular insulin should be given for a glucose level of 300 or higher? for glucose 300 or higher, notify physician
onset for regular insulin is how long? 30-60 minutes
peak for regular insulin is how long? 2-4 hours
the duration of regular insulin is how long? 5-7 hours
onset for NPH insulin is how long? 1-2 hours
peak for NPH insulin is how long? 4-12 hours
the duration of NPH insulin is how long? 18-24 hours
byproducts of fat breakdown, and they accumulate in the blood and urine ketones
what does a patient most commonly use to detect ketonuria a urine dipstick
what color does the reagant pad on the strip turn when ketones are present? purplish
when should ketone testing be performed? whenever type 1 diabetics have glycosuria or persistantly elevated blood glucose levels and during illness, pregnancy with preexisting or gestational diabetes
Created by: RobinNicole
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