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- 1Onset of Humalog (Lispro) is the peak is and duration isOnset is less than <15 in
Peak 30 - 90 min
duration 4 hr - 2Regular insulin onset peak and durationonset 30 - 60 min peak 2- 4 hr duration 5-7 hrs
- 3NPH onset peak and duration of insulinonset 3 - 4 hours peak 6 - 12 hours duration is 18 - 28 hours
- 4Lente onset peak and duration of insulinonset 1 - 3 hrs peak 8 - 12 hrs duration 36 hrs
- 5ultra lente onset peak and durationonset 4-6 preak 18-24 duration 36 hr
- 670/30 insulin onset peak and durationonset 15-30 peak at 2 - 3 hr and again at 8 - 12 duration is 18 - 24 hrs
- 7short term insulin usd before meals are used for ketonacidosis, surgery infection trauma or poorly controlled diabetisHumalog, lispro and regular
humalog - 8long acting insulinnph, lente
- 9insulin what do you draw up first long acting or short and how is it doneroll insulin between hands
put air in long acting cloudy which is nph or lente, then put air in short acting clear Humalog lispro or regular, then draw up short acting the draw up long acting - 10ketonacidosis aka DKA assess urine dipsia phagia resp bp hr bs levels > bun creatine sodium potassium hct indicatespolydipsia, polyphagia, polyuria, n and v, soft eye balls, kussmal resp deep labor breathing, increased Bun >22, increased creatine > 1.4 decreased na less than 135 decreased potassium <3.2 bs level >250
- 11IV solutions and how they are given for Ketoneacidosis dka areNS0.9 NaCl, then hypontoic 0.45 nacl when Bs is lower than 250 add 5% dextrose potassium observe for signs of hypokalemia or hyperkalemia
- 12If IV insulin drip is given what is given toosmall amt of albumin
- 13DKa check I & O and vs how oftenhourly
- 14out of control type II diabetics with BS above >600 can getHHNK hyperglycemic hyperosmolar nonketone Coma
- 15HHNK hyperglycemia hypersmolar Nonketone signs and syptoms bs bun creatin hct breathing breath urinebs >600
Increase bun above 21
increased creatine >1.4 no kussmal resp. but has acetone breath, check urine for glucose - 16Treatment for HHNKSAme as dka
ns .09 nacl, they .045 na cl when bs <250 add 5% dextrose - 17if you have a goiter avoid what foodsavoid turnups, spinach , rutabegga and strawberries
- 18addisons pt should avoid what in hot weatherexcercise
- 19ACTH tumor casues cushings and it does what to BPIncreases BP
- 20for adrenal insufficience you are on what life long medicationGluccotiod steroids
- 21in Addison clucocortiocoid are given and what IV is necessarysodium and Dextrose
- 22first thing to do with pt with dkaadmin insulin
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- nclex endocrine 1 Flashcards on Untitled_19, created by sueostermeyer on 03/10/2013.
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