Insulin

-high-alert medication

-needs to be double checked with another nurse when pulling it from the pixus.

• Different types of Insulin:

  • Rapid Acting -Highest risk of hypoglycemia. Give it with meals

    Onset: 5-10mins

    Peak: 30-90mins

  • Short Acting (Regular Insulin) -only insulin that can be given intravenously rest are SQ.

    Onset: 30mins-1hr

    Peak: In between 2-5hrs

  • Intermediate Acting (NPH) -cloudy and can be mixed with regular insulin.

    Onset: 1-2hrs

    Peak: In between 4-12hrs

  • Long Acting (Glargine) -can last up to 24hrs. and can be given at bedtime. Cannot be mixed with any other insulin because it has no peak it has the lowest risk of hypoglycemia.

    Onset: 1-2hrs

    Peak: None (no peak)