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Insulin chapter 19
insulin
| note 1 | note 2 |
|---|---|
| what is insulin used in the treatment of --? | diabetes mellitus |
| insulin is a hormone --that | is secreted by the islets of Landerhans in the pancreas |
| insulin is a nescessary hormone --- | for glucose use by the body |
| persons who do not produce --- | adequate insulin experience increase in blood sugars |
| another word for blood suagar is --- | glucose |
| accuracy in insulin admin is extremely important because ------- | wrong doses can lead to serious life threatening effects |
| insulin doses are measured --- | in units |
| ( U ) = | units |
| insulin doses are given in syringes --- | that correspond to insulin U-100 |
| U-100 insulin = | = 100 U (units ) same as mL |
| Insulin is also avail in U-500 = | = (500 U/mL ) |
| U - 500 =more | concentrated strength |
| U-500, used for diabetics who have = | extremely High levels of blood sugars that fluctuate |
| 10 mL vials means U-100, | most common type of insulin |
| choice and dose is dependant on --- | choice and dose is dependant on patient needs |
| INsulin is derived --from | --from animal & from human sources |
| recombinant DNA === Human insulin | recombinant DNA === Human insulin |
| the most common insulin on the market is --- | ---recombinant DNA insulin. |
| fewer reactions from "recombinant DNA, than animal sources | --- than animal sources |
| Humalog insulin (Lispro ) Fast Acting in 15 mins" | Humalog insulin (Lispro ) Fast Acting in 15 mins" |
| Human insulin indicated on label as ---recombinant DNA | Human insulin indicated on label as ---recombinant DNA |
| YOU MUST KNOW ---- | ORIGIN OF INSULIN ( animal or human),TYPE OF INSULIN |
| Type of Insulin indicated by Letters | --- R & N |
| when admin insulin , you must be awrare of --- | onset , peak , and duration of actions |
| 3 basic types of insulin --- | rapid acting, Intermediate, long acting |
| Long Acting insulin --- | ---Ultra Lente ( long acting ) |
| Intermediate Acting insulin --- | ---Lente, NPH insulin ( intermediate acting ) |
| Rapid Acting insulin --- | Regular, semilente, Lispro ( Rapid Acting ) |
| Eli ( Lilly ) = | common manufacture, under trade name of ( Humulin) |
| REGULAR (<> ) | (<>) DIAMOND symbol |
| NPH ( Square symbol ) | ( Square symbol ) |
| U-100 means 100 U/mL | U-100 means 100 U/mL |
| to ensure accuracy, insulin should only be given only with an insulin syringe | to ensure accuracy, insulin should only be given only with an insulin syringe |
| U-100 insulin is designed to be given with syringes maked U-100 | U-100 insulin is designed to be given with syringes maked U-100 |
| INsulin doses must be exact. read calibration on the insulin syringe carefully | INsulin doses must be exact. read calibration on the insulin syringe carefully |
| Lo-Dose syringes are desirable for small doses up to 50 U (units ) | Lo-Dose syringes are desirable for small doses up to 50 U (units ) |
| The Lo-Dose 30 U may be used for doses up to 30 U | The Lo-Dose 30 U may be used for doses up to 30 U |
| Lo-Dose syringes 30 U and 50 U, can hold a smaller volume, they are intended for U-100 insulin only | Lo-Dose syringes 30 U and 50 U, can hold a smaller volume, they are intended for U-100 insulin only |
| U-100 ( 1 mL capacity ) syringe is desirable when the dosage exceeds 50 U | U-100 ( 1 mL capacity ) syringe is desirable when the dosage exceeds 50 U |
| When mixing insulin, REgular insulin is always drawn up first. | When mixing insulin, REgular insulin is always drawn up first. |
| Total Volume when mixing insulin is the sum of the 2 insulin amounts | Total Volume when mixing insulin is the sum of the 2 insulin amounts |
| REad insulin labels to ensure that you have the correct type of insulinand avoid medication errors. Always mix the same type of insulin (e.g. Humulin and Humulin ) | REad insulin labels to ensure that you have the correct type of insulinand avoid medication errors. Always mix the same type of insulin (e.g. Humulin and Humulin ) |
| Use the smallest-capacity syringe possible to ensure accuracy | Use the smallest-capacity syringe possible to ensure accuracy |