Insulin types, oral hypoglycemics, and thyroid medications with their onset, peak, and hypoglycemia recognition teaching points.
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- Which three insulins are classified as rapid-acting?
- Lispro, aspart, and glulisine
- What is the onset of rapid-acting insulin (lispro, aspart, glulisine)?
- 10-15 minutes
- What is the peak of rapid-acting insulin?
- 1-2 hours
- What is the duration of action of rapid-acting insulin?
- 3-5 hours
- When should a patient inject rapid-acting insulin relative to a meal?
- Within 15 minutes before eating, with food ready to eat right away
- What is the onset of regular (short-acting) insulin?
- 30 minutes to 1 hour
- What is the peak of regular insulin?
- 2-4 hours
- What is the duration of action of regular insulin?
- 5-8 hours
- Which type of insulin is the only one safe to give intravenously?
- Regular insulin
- What is the onset of NPH (intermediate-acting) insulin?
- 1-2 hours
- What is the peak of NPH insulin?
- 4-12 hours
- What is the duration of action of NPH insulin?
- 14-24 hours
- What is the onset of long-acting insulin (glargine, detemir)?
- 1-2 hours
- Insulin glargine must never be ____ with another insulin in the same syringe.
- mixed
- What are the early, adrenergic signs of hypoglycemia?
- Shakiness, sweating, tachycardia, hunger, and anxiety