Flash Endo Insulins

Welcome to your Flash Endo Insulins

Flashcard# 1 Endo Insulins

What is the primary indication for insulin administration?

To regulate blood glucose levels in patients with diabetes mellitus.

Flashcard# 2 Endo Insulins

In which type of diabetes is exogenous insulin essential for survival?

Type 1 diabetes mellitus.

Flashcard# 3 Endo Insulins

What is the most common side effect of insulin therapy?

Hypoglycemia.

Flashcard# 4 Endo Insulins

What skin-related side effect might a patient experience with repeated insulin injections in the same site?

Lipodystrophy or localized fat build-up.

Flashcard# 5 Endo Insulins

Why is rotating insulin injection sites recommended?

To prevent lipodystrophy and ensure consistent insulin absorption.

Flashcard# 6 Endo Insulins

Which medication can potentially mask the symptoms of hypoglycemia in a patient taking insulin?

Beta-blockers.

Flashcard# 7 Endo Insulins

When mixing NPH (cloudy) insulin with a rapid or short-acting (clear) insulin in the same syringe, which should be drawn up first?

The clear insulin should be drawn up before the cloudy insulin.

Flashcard# 8 Endo Insulins

Can long-acting insulins like insulin glargine (Lantus) and insulin detemir (Levemir) be mixed with other insulins in the same syringe?

No, they should not be mixed with other insulins.

Flashcard# 9 Endo Insulins

At what angle should a subcutaneous insulin injection be administered?

Typically at a 90-degree angle, but a 45-degree angle may be used for thin patients or if using a longer needle.

10.

Flashcard# 10 Endo Insulins

What is the onset of action for rapid-acting insulins like lispro (Humalog)?

Approximately 15 minutes.

11.

Flashcard# 11 Endo Insulins

Which type of insulin can be administered intravenously?

Regular insulin.

12.

Flashcard# 12 Endo Insulins

How long before a meal should rapid-acting insulin be administered?

Typically 15 minutes before a meal.

13.

Flashcard# 13 Endo Insulins

What is the "peak" of insulin?

The time during which insulin is at its maximum effect and the risk for hypoglycemia is greatest.

14.

Flashcard# 14 Endo Insulins

When should blood glucose levels be closely monitored due to the peak action of NPH insulin?

Approximately 4-12 hours after administration.

15.

Flashcard# 15 Endo Insulins

Why is it crucial to assess a patient's meal intake or eating habits when administering rapid-acting insulin?

Because rapid-acting insulin lowers blood glucose rapidly and can cause hypoglycemia if the patient doesn't eat.

16.

Flashcard# 16 Endo Insulins

How should insulin vials that are not currently in use be stored?

In the refrigerator.

17.

Flashcard# 17 Endo Insulins

For how long can an opened vial of insulin be kept at room temperature?

Typically up to 28 days, but it varies by product. Always refer to the manufacturer's instructions.

18.

Flashcard# 18 Endo Insulins

If a patient is experiencing hypoglycemia, what fast-acting carbohydrate source can be administered?

Glucose tablets or gel, fruit juice, or regular soda.

19.

Flashcard# 19 Endo Insulins

Why should patients be educated to regularly inspect their insulin solution?

To ensure it's clear without clumps or crystals (except NPH, which is naturally cloudy).

20.

Flashcard# 20 Endo Insulins

What should be done if a patient reports experiencing frequent nocturnal hypoglycemia?

Their evening insulin regimen or bedtime snack should be re-evaluated.

21.

Flashcard# 21 Endo Insulins

What action should a nurse take if a patient's pre-meal blood glucose is high but they report they are not feeling well or are nauseated?

The nurse should administer the prescribed insulin, ensure the patient has a source of glucose available, and monitor closely.

22.

Flashcard# 22 Endo Insulins

What information should patients be educated on regarding exercise and insulin?

Exercise increases insulin sensitivity and can lower blood glucose levels, so patients may need to adjust their insulin dose or carbohydrate intake during periods of increased activity.

23.

Flashcard# 23 Endo Insulins

Why is it essential to teach patients to always check the insulin type and dose before administration?

To prevent medication errors, as there are multiple types and concentrations of insulin.

24.

Flashcard# 24 Endo Insulins

Why should patients be advised against smoking when on insulin therapy?

Smoking constricts blood vessels, affecting insulin absorption and potentially leading to variable blood glucose levels.

25.

Flashcard# 1 Endo Insulins

How should the nurse instruct the patient to dispose of used insulin syringes or pen needles?

Used syringes and needles should be placed in an FDA-approved sharps container.

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