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Insulin
Peak/Onset/Duration/Nursing Action
| Question | Answer |
|---|---|
| Insulin Type: Rapid Acting EXAMPLES: | Lispro (Humalog), Aspart (NovoLog) |
| Rapid Acting: Lispro (Humalog), Aspart (NovoLog) ONSET: | 10–30 minutes |
| Rapid Acting: Lispro (Humalog), Aspart (NovoLog) PEAK: | 30 minutes –3 hours |
| Rapid Acting: Lispro (Humalog), Aspart (NovoLog) DURATION: | 3–5 hours |
| Rapid Acting: Lispro (Humalog), Aspart (NovoLog) NURSING ACTION: | Give with food (within 15minutes) |
| Insulin Type: Short Acting EXAMPLES: | Regular (Humulin R) |
| Short Acting: Regular (Humulin R) ONSET: | 30–60 minutes |
| Short Acting: Regular (Humulin R) PEAK: | 2–5 hours |
| Short Acting: Regular (Humulin R) DURATION: | 5–8 hours |
| Short Acting: Regular (Humulin R) NURSING ACTION: | "Clear" - Only insulin administered via IV route |
| Insulin Type: Intermediate Acting EXAMPLES: | NPH (Humulin N) |
| Intermediate Acting: NPH (Humulin N) ONSET: | 1.5–4 hours |
| Intermediate Acting: NPH (Humulin N) PEAK: | 4–12 hours |
| Intermediate Acting: NPH (Humulin N) DURATION: | 12–18 hours |
| Intermediate Acting: NPH (Humulin N) NURSING ACTION: | Draw clear (Regular/Rapid) before cloudy (NPH) - "Clear before cloudy" is a vital insulin-mixing rule designed to prevent the intermediate-acting (cloudy/NPH) insulin from contaminating and altering the fast-acting (clear/regular) insulin vial. |
| Insulin Type: Long Acting EXAMPLES: | Glargine (Lantus), Detemir |
| Long Acting: Glargine (Lantus), Detemir ONSET: | 1–4 hours |
| Long Acting: Glargine (Lantus), Detemir PEAK: | None (Steady) |
| Long Acting: Glargine (Lantus), Detemir DURATION: | ~24 hours |
| Long Acting: Glargine (Lantus), Detemir NURSING ACTION: | DO NOT MIX |