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TT3 Insulin
TT3 NHCC Insulin
| Question | Answer |
|---|---|
| A rapid acting insulin | Lispro |
| A short acting insulin | Regular |
| An intermediate acting insulin | NPH or Lente |
| A Long acting insulin with a peak | Ultralente |
| A long acting insulin with no pronounced peak | Lantus |
| The onset of Lispro is? | 15 minutes |
| The onset of Regular is? | 30 to 60 minutes |
| The onset of Lente or NPH is? | 2 hours |
| The onset of Ultralente is? | 2 hours |
| The onset of Lantus is? | 1 to 2 hours |
| When is Lispro's peak? | 60 to 90 minutes |
| When is Regular's peak? | 2 to 3 hours |
| When is Lente's and NPH's peak? | 6 to 8 hours |
| When is ultralente's peak? | 16 to 20 hours |
| When is Lantus peak? | No pronounced peak |
| What drugs can have potential hypoglycemic effects with insulin? | alcohol, anabolic steroids, MAO inhibitors, Guanethidine, salicylates, garlic and ginseng |
| What drugs increase serum glucose levels? | Furosemide and thiazide diuretics |
| Why is it important to know when the peak action of insulin is? | Need to monitor for signs of hypoglycemia at those times |
| What is the only type of insulin that can be given by IV? | Regular |
| What is the advantage of human insulin over animal? | Cost effectiveness and less likely to cause allergic reaction |
| What type of insulin is the base for all insulin? | Regular |
| What are some of the additives to insulin? | zinc, acetate buffers and protomine |
| What is the additive used in Lente? | zinc |
| What is the additive use in NPH? | zinc and protamine |
| Which type of insulin BEST mimics natural insulin secreting in respose to a meal? | Lispro |
| When is Lispro injected? | At the time of a meal or within 15 minutes |
| Which type of insulin has a reduced risk of hypoglycemia? | Lantus |
| What type of insulin MUST NOT be mixed? | Lantus |
| How long may insulin be left at room temperature? | 4 weeks |
| How long are prefilled syringes stable for in the fridge? | 30 days |
| How should syringes containing cloudy solutions be stored? | Vertical with the needle up |
| What is the standard concentration of insulin? | 100 U |
| 1 ml of insulin equals how many Units? | 100 |
| What are the four classifictions of insulin? | rapid, short, intermediate and long |
| Why can't insulin be given orally? | gastric juices break it up |
| Where should insulin be injected? | Sub-Q, do NOT give IM |
| Where do most diabetics inject insulin? | abdomen |
Created by:
2007Nurse
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