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PN 2006 FINAL REVIEW EXAM
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PN 2006 FINAL REVIEW EXAMID injection - ANSWER 25-27 gauge
1/4-5/8 inch
15-degree angle
max volume of ID injection - ANSWER 0.1 ml
SC injection - ANSWER 25-27 gauge
1/2-5/8 inch
45-90 degree angle
max volume of SC injection - ANSWER less than 2ml/site
IM injection - ANSWER 18-23 gauge
1-3 inches
90-degree angle
max volume of IM injection - ANSWER 3ml/site
deltoid 1ml
SC butterfly - ANSWER only one medication per site
hypodermoclysis max volume - ANSWER 3ml can be given in a 24hr period at two
separate sites
what is added to hypodermoclysis to enhance fluid absorption - ANSWER
hyaluronidase
an insulin syringe can hold - ANSWER 50-100 cc
,a tuberculin syringe can hold - ANSWER up to 1ml
what type of insulin can be given IV - ANSWER Regular Insulin
if you can pinch an inch - ANSWER use a 90-degree angle
if you can't pinch an inch - ANSWER use a 45-degree angle
Insulin Aspart (Novorapid) - ANSWER give with meals or 0-15 minutes before
rapid, clear
10-15min onset
1-1.5 hour peak
3-5 hour duration
Insulin lispro (Humalog) - ANSWER give with meals or 0-15 min AC
rapid, clear
10-15min onset
1-2 hour peak
3.5-4.75 hour duration
Humulin R/Novolin Toronto - ANSWER give 30-45 min AC meals
30 min onset
2-3 hour peak
6.5 hour duration
bolus insulins - ANSWER Rapid and short-acting insulins (Novorapid, Humalog,
Humulin R)
Humulin N/Novolin NPH - ANSWER given once or BID, often at bedtime
intermediate, cloudy
1-3 hour onset
5-8 hour peak
, 18-hour duration
Insulin Detemir (Levemir) - ANSWER can be given BID, usually at bedtime
long-acting, clear
90 min onset
N/A peak
16-24 hour duration
Insulin Glargine (Lantus) - ANSWER given at bedtime
long-acting, clear
90 min onset
N/A peak
up to 24 hour duration
Humulin 30/70 - ANSWER given 30-45 min AC meals
(30) rapid, (70) intermediate
pre-mixed, cloudy
rapid and intermediate onset, peak and duration
heparin - ANSWER SC injection given in the abdomen, avoid umbilicus, keep sites
1 inch apart
90-degree angle
PTT lab value while on heparin - ANSWER 60-70 seconds
INR while on heparin - ANSWER 2.0-3.0
hypoglycemic protocol - ANSWER 20mg of glucose
check BG after 15 min
if under 4mmol repeat oral tx up to three times
when above 4mmol administer protein and carb snack
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