249046
Description
Flashcards by sueostermeyer, updated more than 1 year ago
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Created by sueostermeyer
about 11 years ago
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| Question | Answer |
| Onset of Humalog (Lispro) is the peak is and duration is | Onset is less than <15 in Peak 30 - 90 min duration 4 hr |
| Regular insulin onset peak and duration | onset 30 - 60 min peak 2- 4 hr duration 5-7 hrs |
| NPH onset peak and duration of insulin | onset 3 - 4 hours peak 6 - 12 hours duration is 18 - 28 hours |
| Lente onset peak and duration of insulin | onset 1 - 3 hrs peak 8 - 12 hrs duration 36 hrs |
| ultra lente onset peak and duration | onset 4-6 preak 18-24 duration 36 hr |
| 70/30 insulin onset peak and duration | onset 15-30 peak at 2 - 3 hr and again at 8 - 12 duration is 18 - 24 hrs |
| short term insulin usd before meals are used for ketonacidosis, surgery infection trauma or poorly controlled diabetis | Humalog, lispro and regular humalog |
| long acting insulin | nph, lente |
| insulin what do you draw up first long acting or short and how is it done | roll 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 |
| ketonacidosis aka DKA assess urine dipsia phagia resp bp hr bs levels > bun creatine sodium potassium hct indicates | polydipsia, 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 |
| IV solutions and how they are given for Ketoneacidosis dka are | NS0.9 NaCl, then hypontoic 0.45 nacl when Bs is lower than 250 add 5% dextrose potassium observe for signs of hypokalemia or hyperkalemia |
| If IV insulin drip is given what is given too | small amt of albumin |
| DKa check I & O and vs how often | hourly |
| out of control type II diabetics with BS above >600 can get | HHNK hyperglycemic hyperosmolar nonketone Coma |
| HHNK hyperglycemia hypersmolar Nonketone signs and syptoms bs bun creatin hct breathing breath urine | bs >600 Increase bun above 21 increased creatine >1.4 no kussmal resp. but has acetone breath, check urine for glucose |
| Treatment for HHNK | SAme as dka ns .09 nacl, they .045 na cl when bs <250 add 5% dextrose |
| if you have a goiter avoid what foods | avoid turnups, spinach , rutabegga and strawberries |
| addisons pt should avoid what in hot weather | excercise |
| ACTH tumor casues cushings and it does what to BP | Increases BP |
| for adrenal insufficience you are on what life long medication | Gluccotiod steroids |
| in Addison clucocortiocoid are given and what IV is necessary | sodium and Dextrose |
| first thing to do with pt with dka | admin insulin |
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