NSG120 Exam2 Study Guide Flashcards

A set of vocabulary flashcards covering insulin types, antidepressant classes, and the differences between DKA and HHS based on the NSG120 Exam2 study guide.

Lispro (Humalog)

A rapid-acting insulin with an onset of $10-15\,min$, a peak of $30-90\,min$, and a duration of $3-5\,hrs$.

Aspart (NovoLog)

A rapid-acting insulin with an onset of $10-20\,min$, a peak of $40-50\,min$, and a duration of $3-5\,hrs$.

Regular (Humulin R/Novolin R)

A short-acting insulin with an onset of $30-60\,min$, a peak of $2-4\,hrs$, and a duration of $5-8\,hrs$.

NPH (Novolin N/Humulin N)

An intermediate acting insulin with an onset of $1-2\,hrs$, a peak of $6-12\,hrs$, and a duration of $18-24\,hrs$.

Glargine (Lantus)

A long-acting/basal insulin with an onset of $1-2\,hrs$, no peak, and a duration of $20-24\,hrs$.

SSRI (Selective Serotonin Reuptake Inhibitor)

A class of antidepressants such as Sertraline (Zoloft) and Citalopram (Celexa) that increase serotonin level; key points include $4-6\,wks$ onset, AM administration, and risks of suicide and serotonin syndrome.

TCA (Tricyclic Antidepressant)

A class of antidepressants such as Amitriptyline that affects serotonin and norepinephrine; it has a $2-3\,wks$ onset, should be avoided in cardiac or elderly patients, causes anticholinergic side effects, and requires a $14$-day washout from MAOIs.

MAOI (Monoamine Oxidase Inhibitor)

A class of antidepressants such as Phenelzine (Nardil) that blocks the MAO enzyme; it requires a $4\,wk$ onset, avoidance of tyramine foods to prevent hypertensive crisis, and a $14$-day washout before other antidepressants.

DKA (Diabetic Ketoacidosis)

A condition occurring mostly in Type 1 diabetics with abrupt onset, BG of $300-500$, ketones, acidosis, fruity breath, and Kussmaul respirations; treated with IV fluids and insulin, switching to D5W when BG is $250-300$.

HHS (Hyperglycemic Hyperosmolar State)

A condition occurring mostly in Type 2 diabetics with gradual onset, BG $>600$, no ketones or acidosis, and predominant neurological changes.