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Nurs 1141 Exam 1
1. Insulin Lispro-CORRECT ANSWER- rapid acting insulin
2. Regular Insulin-CORRECT ANSWER- "Short Acting"
Slower in onset and longer in duration than rapid acting insulins
3. Insulin isophane suspension (NPH)-CORRECT ANSWER- intermediate acting insulin
contains specific amounts of regular insulin and protamine
4. Insulin glargine (Lantus)-CORRECT ANSWER- long acting insulin
5. insulin detemir (Levemir)-CORRECT ANSWER- long acting insulin
6. Fixed Combination Insulins-CORRECT ANSWER- Contain two different insulins in a fixed
combination; one intermediate
and one either rapid-acting or short-acting type
7. Basal-Bolus Insulin Dosing-CORRECT ANSWER- -Preferred method of treatment for
hospitalized diabetic patients-Mimics a healthy pancreas by delivering basal insulin constantly as
a basal and then as needed as a bolus
Basal insulin is a long-acting insulin (insulin glargine)
Bolus insulin (insulin lispro or insulin aspart-Rapid acting)
8. Sliding-Scale Insulins-CORRECT ANSWER- -SUBQ rapid-acting (lispro or aspart) or short-
acting (regular) insulins are adjusted
according to blood glucose test results. -Typically used in hospitalized diabetic patients or those
on total parenteral utrition or enteral tube feedings-SUBQ insulin is ordered in an amount that
increases as the blood glucose increases.
9. Drug Class Insulin-CORRECT ANSWER- -Rapid, Short, Intermediate or Long-Acting
Actions-CORRECT ANSWER- Key regulator of metabolism, required for entry of glucose into
skeletal muscle and fat, needed for lipid and
protein metabolism
,Use-CORRECT ANSWER- To control blood sugar in patients with Diabetes Mellitus
10. Insulin Lispro Drug Card-CORRECT ANSWER- Type-CORRECT ANSWER- Rapid-Acting
Insulin
Action-CORRECT ANSWER- Lowers Blood Glucose Level
Use-CORRECT ANSWER- to control hyperglycemia associated with meals without having
longer-lasting effects with the potential for
hypoglycemia
Adverse Effects-CORRECT ANSWER- Hyperglycemia, Hypoglycemia, Allergic Reactions (at
injection site, spontaneous desensitization may
occur in a few weeks), lipodystrophies
Contraindications-CORRECT ANSWER- Hypoglycemia
Drug Interactions-CORRECT ANSWER- Beta Blockers (may mask sx of hypoglycemia), Drugs
that may induce Hyperglycemia (albuterol,
corticosteroids, diuretics, glucagon, nicotine, oral contraceptives) Drugs that may induce
hypoglycemia (Anabolic
steroids, ACE inhibitors, alcohol, salicylates, sulfonylureas)
Dosages-CORRECT ANSWER- Varies by patient, usually dosed within 10-15 minutes of a meal
Nurs 1141 Exam 1
Study online at https-CORRECT ANSWER-//quizlet.com/_do3dje
Can be mixed with an intermediate acting insulin in the same syringe (NPH)
Route of Administration-CORRECT ANSWER- Subcutaneous Injection, IV
11. Regular insulin Drug Card-CORRECT ANSWER- Type-CORRECT ANSWER- Short-
Acting Insulin
Action-CORRECT ANSWER- Lowers blood glucose level
Use-CORRECT ANSWER- 30-60 minutes before meals
Adverse Effects-CORRECT ANSWER- Hyperglycemia, Hypoglycemia, Allergic Reactions (at
injection site, spontaneous desensitization may
occur in a few weeks), lipodystrophies
, Contraindications-CORRECT ANSWER- Hypoglycemia
Drug Interactions-CORRECT ANSWER- Beta Blockers (may mask sx of hypoglycemia), Drugs
that may induce Hyperglycemia (albuterol,
corticosteroids, diuretics, glucagon, nicotine, oral contraceptives) Drugs that may induce
hypoglycemia (Anabolic
steroids, ACE inhibitors, alcohol, salicylates, sulfonylureas)
Route of Administration-CORRECT ANSWER- Subcutaneous Injection, IV
Can be mixed with NPH
12. Insulin isophane suspension (NPH) Drug Card-CORRECT ANSWER- Type-CORRECT
ANSWER- Intermediate-Acting Insulin
Action-CORRECT ANSWER- Lowers blood glucose level
Adverse Effects-CORRECT ANSWER- Hyperglycemia, Hypoglycemia, Allergic Reactions (at
injection site, spontaneous desensitization may
occur in a few weeks), lipodystrophies
Contraindications-CORRECT ANSWER- Hypoglycemia
Drug Interactions-CORRECT ANSWER- Beta Blockers (may mask sx of hypoglycemia), Drugs
that may induce Hyperglycemia (albuterol,
corticosteroids, diuretics, glucagon, nicotine, oral contraceptives) Drugs that may induce
hypoglycemia (Anabolic
steroids, ACE inhibitors, alcohol, salicylates, sulfonylureas)
Route of Administration-CORRECT ANSWER- Subcutaneous Injection
13. Insulin Glargine/Insulin Detemir Drug Card-CORRECT ANSWER- Type-CORRECT
ANSWER- Long-Acting Insulins
Action-CORRECT ANSWER- Lowers blood glucose level
Use-CORRECT ANSWER- absorbed from the subcutaneous tissue in a uniform manner without
large fluctuations in insulin levels, reducing
the possibility of hypoglycemic reactions. Most commonly injected in the evening, these
products provide a 24-hour
basal source of insulin for the body.