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PUSHD WITH CNS
Pallor
Unsteady gait
Slurred speech
Headache
Diaphoresis
Weak
Irritable
Trembling/Tachycardia
Hunger
Confusion/ Change in LOC
Nervous
Shaking
Humulin, NovolinR
Onset: 30-60 min
Peak: 2-4 hr
Duration: 5-7 hr
Humalog/ Novolog
Aspart/ Lispro
Onset: w/i15 min
Peak: 1-2 hr
Duration: 3-4hr
Intermediate Isophane suspension (NPH)
Onset: 2-4 hr
Peak:4-10hr
Duration: 10-16hr
Long acting Glargine
Onset: 3-4hr
Peak: none
Duration : 24hr
Five Sources of glucose
TPN
Tube feed
IV w/ dextrose
Meals/food
Endogenous
4 things you need to assess prior to Insulin administration
Current Blood Sugar
Signs and Symptoms of Hypoglycemia
Glucose Source
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