INSULIN

NATURAL

also known as regular insulin

Lispro

rapid acting insulin that has a brand name of Humalog that affects 15-20 mins and peaks at 1 hr

clear

rapid acting is formulated as clear or cloudy?

Lispro (HUMALOG)

Aspart (Novolog)

Glulisine (Apidra)

rapid acting insulin meds

Glulisine (clear)

rapid acting insulin (Apidra) is a synthetic analog of natural insulin with rapid onset of 15-20 mins

Regular Insulin

also known as slower acting, which is also made pf clear formulation

30-1 hr

start of effect of regular or slow acting insulin is?

2-4 hrs

hrs of peak of regular insulin, where the pt with diabetes near hypoglycemic and need to eat food.

novolin R, and Humulin R

drugs under the regular acting insulin drugs

clear

what is the formulated solution of regular insulin clear or cloudy?

regular insulin

it is also known as semilente

Netral Protamine Hagedron (NPH) insulin

Intermediate Acting insulin

short acting

intermediate acting or NPH insulin is only suitable to be mixed with what classification of clear insulin

cloudy

the formulation of NPH insulon is clear or cloudy?

Humulin N

Novolin N

Intermediate Acting/ NPH (cloudy insulins) brand names

2-4 hrs- 4-8 hrs

start of effect and peak time of the NPH

isophane insulin

Novolin N is also known as

regular insulin is fast acting and nph is long acting (like Tetanus Toxoid) regular controls post meal rise in blood sugar while waiting for the NPH (2-4 hrs) to take effect to prevent postprandial hyperglycemia

why NPH is usually administered with regular insulin

to control postprandial hyperglycemia

why NPH alone cannot be administered at mealtime

NPH and regular insulin

Insulin that are available without prescriptions are

Glargine (Lantus)

very long duration insulin that is modified human insulin with a prolonged duration of action upto 24 hrs, unlike other insulin that has peak time that fall thru hypoglycemia, this achieves blood levels that are relatively steady,

clear

very long acting insulin Glargine has a formulation of clear or cloudy?

subq

very long acting insulin should be given on what route and never on IV

Detemir (Levemir)

Insulin that is very long acting that persists or take affect about 12 hrs and persist up to 20-24 hrs and available by prescription only and must not be given IV

Degludec (Tresiba)

other form of very long acting insuin with brand namesre

regular, lispro, aspart, and glulisine

insulins available as clear solutions and only that can be administered IV

air:cloudy- clear- drawl; clear-cloudy

how to prepare the insulin

1 hr

onset time of very long acting insulins

4-8 hrs 8-16

onset time for long acting insulin and the peak

frothing

what will happen if you over mixed in vigorous agitation the insulin

lypodystrophy

Insulin drugs must be stored in “room temp” to prevent change in fat tissue that can lead to poor insulin absorption

get first the long acting before short

how to prepare insulin if both are clear

if closed- refrigerate

if open- store in room temp

how will you store the insulin

last for 28 days

how long the open insulin lasts before discarding