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insulin drug
pharmacology exam 3
| Question | Answer |
|---|---|
| what is the onset for humalog | 10-15 minutes |
| what is the peak for humalog | 30-60 minutes |
| what is the duration for humalog | 5 hours or less |
| what is the onset of regular insulin | 1/2 hour to 1 hour |
| what is the peak of regular insulin | 2-4 hours |
| what is the duration of regular insulin | 5-7 hours |
| what is the onset of NPH insulin | 1-4 hours |
| what is the peak of NPH insulin | 4-12 hours |
| what is the duration of NPH insulin | 18-24 hours |
| what is the onset of lantus | 1 hour |
| what is the peak of lantus | no peak, it is continuous |
| what is the duration of lantus | 24 hour |
| which insulin is short acting | regular |
| which insulin is rapid acting | humalog |
| what insulin is intermediate acting | NPH |
| what insulin is long lasting | lantus |
| how do i inject insulin | bunch up skin |
| what sites can insulin be administered | thigh, butt, upper arm, abdomen |
| do you have to rotate sites | yes to prevent lipodystrophy |
| what two insulins can be mixed | anything but lantus |
| never mix this insulin | lantus |
| can you shake vials of insulin | no only rotate between hands |
| what layer of skin is insulin administered at | subcutaneous |
| prefilled syringes are stored this way | vertical or oblique |
| do not take this insulin until food is in front of you | humalog |
| the only insulin that can be administered IV | regular |
| NPH insulin is taken when | 30 minutes before a meal |
| how soon after giving humalog must a patient eat | immediately |
| what does insulin do to blood sugar | transports it to cells |
| if a client is taking insulin and begins an exercise program what can you expect? | increased cellular response to insulin |
| a patient that is exercising excessively should increase or decrease their dose | increase |
| exercise with caution and have this on hand | sports drinks and complex carbs |
| should insulin be refrigerated | yes, if it is not in use |
| should insulin be stored at room temperature | yes if it is in use |
| true or false, your patient may become hypo while exercising | true |
| steroids do this to your insulin needs | increase |
| infection raises glucose so you may need ____ insulin | more |
| if a patient is on this, you may not know they are hypoglycemic | beta blockers |
| who uses insulin | type 1 diabetics need it to live type 2 may supplement with it |
| what is gestational diabetes | it develops during pregnancy and usually goes away after childbirth |
| when to use caution with insulin | pregnancy, under severe stress and with an infection |
| what are the symptoms of dka (diabetic ketoacidosis) | fruity breath, blurred vision, flushed dry warm skin, changes in respiration, blood glucose greater than 300 |
| the suffix -log meand | rapid acting |
| if a patient is in DKA they may say to you | i am really thirsty, hungry and really tired, i pee a lot too and am losing weight |
| what is the normal range for blood glucose | 70-120 before meals and under 140 2 hours after eating |
| what is hemoglobin A1C | blood test used to monitor blood glucose after it is being controlled |
| when do you check hemoglobin A1C | every 3-6 months |
| what percentage do you want your patients at for hemoglobin A1C test | 6-7% |
| if a patient is going to exercise they should | hold their dose |