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    Medications

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    The Treasure Chest
    The document provides information about different types of insulin including rapid-acting, short-acting, intermediate-acting and long-acting insulins. It describes the onsets, peaks and durations of each type as well as rules for when to take different insulins with meals. The document also discusses the differences between type 1 and type 2 diabetes.

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    Medications

    Uploaded by

    The Treasure Chest
    90 views27 pages
    The document provides information about different types of insulin including rapid-acting, short-acting, intermediate-acting and long-acting insulins. It describes the onsets, peaks and durations of each type as well as rules for when to take different insulins with meals. The document also discusses the differences between type 1 and type 2 diabetes.

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    The document provides information about different types of insulin including rapid-acting, short-acting, intermediate-acting and long-acting insulins. It describes the onsets, peaks and durations of each type as well as rules for when to take different insulins with meals. The document also discusses the differences between type 1 and type 2 diabetes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    90 views27 pages

    Medications

    Uploaded by

    The Treasure Chest
    The document provides information about different types of insulin including rapid-acting, short-acting, intermediate-acting and long-acting insulins. It describes the onsets, peaks and durations of each type as well as rules for when to take different insulins with meals. The document also discusses the differences between type 1 and type 2 diabetes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 27

    1

    ALL ABOUT INSULIN


    RAPID-ACTING SHORT-ACTING INTERMEDIATE-ACTING LONG-ACTING
    1. Aspart AKA: Regular Insulin AKA: NPH KEY: NO PEAK
    THINK: “Move your
    KEY: This is the ONLY KEY: If given with • CAN’T BE MIXED
    Ass” Ass-part WITH OTHER
    insulin type given IV regular insulin, draw up:
    2. Lispro route clear-to-cloudy INSULIN!
    THINK: “Let’s go!!” 1. Detrimir
    • Can be given with NPH THINK: R-N Regular
    Lispro THINK: “Lasts all year”
    at the same time in the before NPH (clear before
    3. Glulisine cloudy) lasts a long time
    same syringe
    THINK: Glue dries fast • Can be given with 2. Lantus
    • Given 2x/day
    long-acting at the same THINK: “Lantern”
    Onset: 15 MIN! time in a different lanterns burn for a long
    Peak: 30-90 minutes syringe time
    Duration: 3-5 hours 3. Glargine
    Onset: 30-60 minutes THINK: “Large” lasts
    Peak: 2-4 hours for a large amount of
    Duration: 5-8 hours time
    Onset: 60-120 minutes
    Peak: 4-12 hours
    Duration: 14 hours
    (hence, given 2x/day) Onset: 60-120 minutes
    WHEN DO YOU EAT? Peak: NO PEAK
    Duration: 24 hours
    1. Rapid-acting: Covers insulin needs for meals eaten at the same time
    of injection
    2. Short-acting (Regular): Covers insulin needs for meals eaten within
    REMEMBER
    30-60 minutes of injection TYPE 1: YOU HAVE
    3. Intermediate-acting (NPH): Covers insulin needs for half the day NONE
    or overnight; typically given morning and night • NO insulin being produced
    4. Long-acting: Covers insulin needs for the full day; can be combined • Patients will need insulin!
    with other insulin but never mixed TYPE 2: THE PROBLEM
    IS YOU
    RULES OF INSULIN • Encourage healthy diet and
    exercise
    • Watch for signs and symptoms of hypoglycemia shaky, clammy,
    pale, sweaty • Potential oral medication
    o THINK: “Cool and clammy, give me candy” use
    o IF AWAKE: Ask the patient to eat (candy, juice, low fat milk) • Insulin (last resort)
    o IF UNCONSCIOUS: Stab with IV D50
    • Regular insulin: ONLY insulin given IV
    • NPH: If mixed, clear-to-cloudy (NPH is cloudy)
    • Long-acting: Do not mix; NO PEAK
    • Rotate injection sites do not aspirate/massage
    • Always increase insulin with: (glucose with any type of stress) INSULIN PUMP
    o Stress • Give a steady dose of insulin for
    o Sepsis Type 1 DM
    o Sickness • Check BG 4x/day
    o Steroids • Push bolus at meals
    u r
    N
    i

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