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Pharm 2.1
| Question | Answer |
|---|---|
| Rapid acting insulin | Ideal for managing blood sugar spikes that happen after meals. 5-10 minutes before meals |
| Intermediate and long acting | Maintain steady glucose levels between meals and overnight |
| Insulin aspart onset, peak, and duration | Onset in 10-20 minutes, peak in 1-3 hours, lasts 3-5 hours. Can give with NPH |
| Insulin lispro onset, peak, and duration | Rapid, onset in 15-30 minutes, peaks in 30 minutes to an hour, lasts 3-5 hours. |
| Insulin Regular onset, peak, and duration, routes, | Short, Onset is in 30-60 minutes, peaks in 2-4 hours, duration is 5-8 hours. Can be given subq or IV. Can mix with water or NS |
| Insulin isophane NPH onset, peak, and duration | Intermediate, onset is 1-2 hours, peaks in 4-12 hours, duration is 18-24 hours. Take 30 minutes before meals and supper. |
| Insulin Glargine onset, peak, and duration for lantus and toujeo | Long, 1.5 hour onset for lantus, 6h for toujeo. Lantus has no peak, toujeo peaks in 12 hours. Both last 24 hours and are given once daily. Never mix. |
| Hypoglycemia symptoms | Shakiness, clamminess, irritability, confusion, diziness, hunger, tachycardia, anxious. |
| Sx of glucagon | N/V, headache |
| What is lipohypertrophy | Can occur with pens, syringes, and pumps. BUildup of fat, protein, and scar tissue |