Medication Memorization (Exam 4 prep)

N210

💉 INSULIN: Which insulin types can be mixed?

Only Regular + NPH (Clear before Cloudy)

💉 INSULIN: Which insulin cannot be mixed?

Glargine (Lantus) - long insulin

💉 INSULIN: Which insulin can be given IV?

Regular insulin (Humulin R / Novolin R)

💉 INSULIN: Rapid-acting insulin (Aspart) onset/peak/duration?

10–20 min / 1–3 hr / 3–5 hr

💉 INSULIN: Short-acting insulin (Regular) onset/peak/duration?

30–60 min / 2–4 hr / 5–8 hr

💉 INSULIN: Intermediate-acting insulin (NPH) onset/peak/duration?

1–2 hr / 4–12 hr / 14–24 hr

💉 INSULIN: Long-acting insulin (Glargine) onset/peak/duration?

1–2 hr / no peak / 24 hr

💉 INSULIN: When to give Aspart?

Right before meals

💉 INSULIN: When to give Regular?

30 minutes before meals

💉 INSULIN: When to give NPH?

Morning and bedtime (covers between meals)

💉 INSULIN: When to give Glargine?

Same time daily, not meal dependent

💉 INSULIN: Antidote for overdose?

Glucose (juice), D50 IV, or Glucagon IM

💉 INSULIN: Signs of hypoglycemia?

Sweating, confusion, tremor, headache, tachycardia, irritability

💉 INSULIN: Signs of hyperglycemia?

Polyuria, polydipsia, polyphagia, dry skin, fruity breath (DKA)

💉 INSULIN: Nursing checks before giving?

Check blood glucose, 2-nurse verification, rotate sites, don’t skip meals

💉 INSULIN: Lab for long-term control?

Hemoglobin A1C < 7%

🩸 ANTICOAGULANT: What class are Heparin & Lovenox?

Anticoagulants (blood thinners)

🩸 ANTICOAGULANT: Heparin trade vs generic?

Trade: Heparin Sodium | Generic: Heparin

🩸 ANTICOAGULANT: Lovenox trade vs generic?

Trade: Lovenox | Generic: Enoxaparin Sodium

🩸 ANTICOAGULANT: Route of Heparin?

IV or SubQ

🩸 ANTICOAGULANT: Route of Lovenox?

SubQ only

🩸 ANTICOAGULANT: Indication for both?

Prevent DVT, PE, post-surgery clots; bridge to warfarin

🩸 ANTICOAGULANT: Antidote?

Protamine sulfate (1 mg per 1 mg enoxaparin or 100 units heparin)

🩸 ANTICOAGULANT: Lab for Heparin?

aPTT (therapeutic 60–80 sec if IV), Platelets, Hgb/Hct

🩸 ANTICOAGULANT: Lab for Lovenox?

Platelets, Hgb/Hct, anti-Xa (if renal issues)

🩸 ANTICOAGULANT: Injection rule for Lovenox?

SubQ lower abdomen ≥2 in from umbilicus; don’t aspirate or massage

🩸 ANTICOAGULANT: Common side effects?

Bleeding, bruising, anemia, pain at site

🩸 ANTICOAGULANT: Adverse reactions?

Hemorrhage, Heparin-Induced Thrombocytopenia (HIT), allergic reaction

🩸 ANTICOAGULANT: Lovenox onset/duration?

Onset 3–5 hr | Duration 12–24 hr

🩸 ANTICOAGULANT: Nursing tip for both?

Check platelet count before giving (hold if

🩸 ANTICOAGULANT: Patient education?

Report bleeding/bruising, avoid NSAIDs, use soft toothbrush & electric razor