Insulin therapy patient education, DKA and HHS recognition, and thyroid disorder nursing care, distinct from the drug-class focus of the Nursing Pharmacology endocrine deck.
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- What is the onset of action for rapid-acting insulin (such as lispro)?
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About 15 minutes- What is the peak action time for rapid-acting insulin?
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1 to 2 hours after injection- What is the onset of action for regular (short-acting) insulin?
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About 30 minutes- What is the onset of action for NPH (intermediate-acting) insulin?
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1 to 2 hours after injection- Long-acting basal insulins such as glargine have ____, providing steady background coverage.
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no pronounced peak- Why should a patient rotate insulin injection sites?
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To prevent lipodystrophy, tissue changes that impair insulin absorption- Which injection site provides the fastest insulin absorption?
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The abdomen- How should an unopened insulin vial be stored?
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In the refrigerator- About how long can an insulin vial that is currently in use be kept at room temperature?
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About 28 days- How should a cloudy insulin suspension like NPH be mixed before drawing up a dose?
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Gently roll the vial between the hands; never shake it vigorously- When mixing regular and NPH insulin in one syringe, which insulin should be drawn up first?
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The clear (regular) insulin first, then the cloudy (NPH) insulin- What is the Somogyi effect?
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Rebound morning hyperglycemia caused by an unrecognized nighttime hypoglycemic episode- What is the dawn phenomenon?
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Early morning hyperglycemia caused by the natural release of counterregulatory hormones like growth hormone and cortisol- Diabetic ketoacidosis (DKA) most commonly occurs in which type of diabetes?
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Type 1 diabetes- Hyperosmolar hyperglycemic state (HHS) most commonly occurs in which type of diabetes?
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Type 2 diabetes
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