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Insulin & Medication

QuestionAnswer
Rapid-Acting Insulin: Agent Lispro (Humalog), Aspart (Novolog)
Rapid-Acting Insulin: Onset 15 minutes
Rapid-Acting Insulin: Peak 1 hour, 40-50 minutes
Rapid-Acting Insulin: Duration 3-5 hours
Rapid-Acting Insulin: Indications Used for rapid reduction of glucose level, to treat postprandial hyperglycemia, and/or to prevent nocturnal hypoglycemia
Short-Acting Insulin: Onset 30-60 minutes
Short-Acting: Insulin: Peak 2-3 hours
Short-Acting Insulin: Duration 4-6 hours
Short-Acting Insulin: Indications Usually administered 20-30 min before a meal; may be taken alone or in combination with longer acting insulins
Short-Acting Insulin: Agent Regular (Humulin R, Novolin R)
Intermediate-Acting Insulin: Onset 2-4 hours
Intermediate-Acting Insulin: Agent NPH (Humulin N, Novolin N)
intermediate-Acting Insulin: Peak 6-8 hours
Intermediate-Acting Insulin: Duration 12-16 hours
Intermediate-Acting Insulin: Indications Food should be taken around the time of onset and peak
Long Acting Insulin: Onset 2 hours
Long Acting Insulin: Peak continuous (no peak)
Long Acting Insulin: Duration 24 hours
Long Acting Insulin: Indications used for basal dose of insulin
Long Acting Insulin: Agent glargine (lantus), detemir (levemir)
Biguanides: Agent Metformin, Glucophage XL
Biguanides: Nursing Interventions Assess kidney and liver function, do not administer for 2 days before and after any iodine-based contrast dye tesing
Biguanides: Side effects GI upset, hypoglycemia, lactic acidosis
Sulfonylureas: Agents Glipizide, Glyburide
Sulfonylureas: Action stimulate beta cells to release insulin
Sulfonylureas: Side effects hypoglycemia, weight gain, mild GI symptoms
Sulfonylureas: Nursing Interventions Assess patients for a sulfa allergy teach patient to avoid alcohol monitor for hypoglycemia MUST be taken with meals
Nonsulfonylureas: Action Used in Type 2 DM to stimulate rapid and short insulin secretion
Nonsulfonylureas: Side effects hypoglycemia, weight gain
Created by: Cjordan2
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