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Diabetes Meds

Injectable Hypoglycemics

QuestionAnswer
Rapid acting insulin Lispro (O: 15-30 min, P: .5-1.5 hr, D: 3-5 hr)
Short acting insulin regular insulin (O: 30-60 min, P: 1-5 hr, D: 6-10 hr)
Intermediate acting insulin NPH (O: 1-2 hr, P: 4-12 hr, D: 16 hr)
Long acting insulin Glargine (O: 3-4 hr, P: continuous, D: 24 hr)
Insulin: Action reduces blood glucose levels by increasing glucose transport across cell membranes; enhances conversion of glucose to glycogen
Insulin: Indications Type 1 diabetes; Type 2 diabetes not responding to oral hypoglycemic meds; gestational diabetes not responding to diet
Insulin: Side/Adverse Effects hypoglycemia
Insulin: Nursing Considerations teach clients to rotate sites to prevent lipohypertrophy
Rapid acting insulin Aspart (O: 15-30 min, P: 1-3 hr, D: 3-5 hr)
Rapid acting insulin Glulisine (O: 10-15 min, P: 1-1.5 hr, D: 3-5 hr)
Long acting insulin Determir (O: unkwn, P: continuous, D: 24 hr)
Long acting insulin Degludec (O: 1 hr, P: 9 hr, D: 24 hr)
Insulin: Nursing Considerations fibrofatty masses at injection site (do not inject into these masses)
Insulin: Nursing Considerations only regular insulin can be given IV; all insulin can be given subQ
Insulin: Herbal Interactions Bee pollen, ginko biloba, glucosamine may increase blood glucose, basil, bay leaf, chromium, echinacea, garlic, ginseng may decrease glucose
Insulin: Nursing Considerations when drawing regular insulin and NPH together in same syringe always draw clear to cloudy (regular to NPH)
Insulin: Nursing Considerations Beta blockers can mask the signs of hypoglycemia
Insulin: Nursing Considerations glucocorticoids increase blood glucose levels
Insulin: Contraindications/Interactions Do not mix insulin glargine or insulin detemir with any other insulins
Created by: NikkiLeigh83
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