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NUR 210 EXAM 3 GALEN QUESTIONS AND ANSWERS / LATEST
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NUR 210 EXAM 3 GALEN QUESTIONS AND ANSWERS / LATEST
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NUR 210 EXAM 3 GALENDiabetes Types - ANSWERS-Type 1
-Insulin-dependent DM
Type 2
-Insulin resistant
Secondary
-Due to medications (glucocorticoids, thiazide diuretics, epinephrine)
Gestational
-Due to hormonal changes
Insulin resistance-Type 2 DM - ANSWERS-Body tissues do not respond to the
action of insulin
-Insulin receptors are unresponsive
-Insulin receptors are deficient in numbers
Insulin Action - ANSWERS-Promote use of glucose by body cells
Insulin Use - ANSWERS-Reduce blood glucose in diabetes
,Insulin Side effects/adverse reactions - ANSWERS-Hypoglycemia
-Headache, dizziness, confusion, slurred speech, hunger, weakness
-Nervousness, anxiety, agitation
-Tremors, sweating, tachycardia, seizures
-Flushing, lethargy, uticaria
-Tachycardia, palpitations, hypoglycemic reaction
-Shock, anaphylaxis, ketoacidosis
Insulin Contraindications - ANSWERS--Hypoglycemia
-Allergy
Insulin Interactions - ANSWERS--Increased hypoglycemia with aspirin, oral
anticoagulants, alcohol, other hypoglycemics, Beta blockers
-Decreased hypoglycemia (hyperglycemia) with thiazides, glucocorticoids, oral
contraceptives, thyroid drugs, smoking
Types of insulin - ANSWERS--Rapid-acting
-Short-acting
-Intermediate-acting
-Long-acting
,-Combinations
Insulin lispro - ANSWERS--Onset (15-30 minutes)
-Peak (30-90 minutes)
-Duration (3-5 hours)
Insulin regular (short-acting insulin) Clear - ANSWERS--Onset (30-60 minutes)
-Peak (2.5-5 hours)
-Duration (4-12 hours)
NPH Insulin (intermediate-acting insulin) Cloudy - ANSWERS--Onset (1-2 hours)
-Peak (4-12 hours)
-Duration (14-24 hours)
Insulin glargine (Long-acting insulin) - ANSWERS--Onset (1 hour)
-No Peak
-Duration (24 hours)
Administer at bedtime
Combinations (insulin types) - ANSWERS--Composed of short- and intermediate-
acting or rapid- and intermediate-acting
, -Humulin or Novolin 70/30 (NPH 70%, insulin regular 30%)
-NPH 50%, regular 50%
Can be mixed in other strengths
Methods of insulin administration - ANSWERS--Insulin pumps
-Insulin pen injectors
-Insulin jet injectors
Insulin administration SQ remember - ANSWERS-Rotate sites
-Prevents lipodystrophy
Sliding-scale insulin coverage - ANSWERS--Adjusted doses dependent on
individuals blood glucose
-usually done before eating and at bedtime
-usually uses rapid or short-acting insulin
Example
-151-200 2 units insulin lispro
-201-250 4 units insulin lispro
-251-300 6 units insulin lispro
-301-350 8 units insulin lispro
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