Term
RAPID-ACTING
onset
peak
duration |
|
Definition
lispro (Humalog)
onset - less than 15 min
peak .5-1 hr
duration 3-4 hr |
|
|
Term
SHORT-ACTING
onset
peak
duration |
|
Definition
regular (Humulin R)
.5-1 hr
1-3 hr (~2 hr)
6-8 hr |
|
|
Term
INTERMEDIATE-ACTING
onset
peak
duration |
|
Definition
NPH (Humulin N, Novolin N, isophane)
1-2 hr
6-12 hr (~8 hr)
18-26 hr |
|
|
Term
|
Definition
neutral protamine Hagedorn
In 1936, Hagedorn and Jensen discovered that the effects of injected insulin could be prolonged by the addition of protamine, originally obtained from the "milt," or semen, of river trout. The insulin was added to the protamine, but the solution had to be brought to a pH of 7 for injection. |
|
|
Term
LONG-ACTING
onset
peak
duration |
|
Definition
glargine (Lantus)
1 hr
no peak
10-24hr
Do not mix with other insulins. |
|
|
Term
combination 70/30
NovoLog Mix 70/30
onset
peak
duration |
|
Definition
|
|
Term
| Do not mix other insulins with... |
|
Definition
lispro
glargine
combination 70/30 |
|
|
Term
| Only which insulin is given IV and only in what solution? |
|
Definition
| Only regular insulin is given IV and only in normal saline. |
|
|
Term
| Which insulin is administered at bedtime? |
|
Definition
|
|
Term
| When mixing regular with NPH, draw up... |
|
Definition
regular 1st
NPH last.
(R-N) (clear before cloudy) |
|
|
Term
| Roll vials of insulin to mix; do not shake; except... |
|
Definition
| ...regular insulin, which does not need to be mixed because it's just regular insulin. |
|
|
Term
GLYCEMIC AGENT
name
treats what
do not mix with what
SEs |
|
Definition
glucagon
severe hypoglycemia and/or unresponsive pt
sodium chloride or dextrose solutions
SEs: N&V & rebound hypoglycemia (provide carbs when pt awakens from hypoglycemic reaction) |
|
|
Term
| hold 48 hr before and after use of a contrast dye |
|
Definition
|
|
Term
|
Definition
|
|
Term
| This medication might be used to lower serum K+ levels. |
|
Definition
| sodium polystyrene sulfonate |
|
|
Term
sulfonylureas
ACTION
PRECAUTIONS |
|
Definition
glipizide
glyburide
Promotes release of insulin from the pancreas.
Extreme high risk of hypoglycemia in clients with renal, hepatic, or adrenal disorders. |
|
|
Term
|
Definition
oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas
SE: may cause photosensitivity |
|
|
