Question

You are caring for a patient that is diabetic and taking insulin lispro and insulin glargine. 1. What is the differences to these two insulins? Include the onset, peak, and duration times along with any other differences 2. What assessment would the nurse make prior to administering either medication? 3. What teaching would be included to this patient including storage? 4. What would the nurse monitor for in the patient who is taking these medications? 5. What times are these medications usually administered? Are they administered together? 6. Why would exanatide be ordered in place of these insulins?

Answer 1

1)lispro insulin is fast acting. While glargine is long acting.lispro can control blood sugar on meal time.while glargine have the ability to control blood sugar on whole day.lispro onset of action 15 minutes,duration five hours,peak time 30 to 90.while glargine have onset of action 1.5 to 2 hours while duration is 24 hours.

2)Nurse should check blood sugar of the patient to prevent hypoglycemia.check that patients food is ready or not.

3)Lispro can be stored up to 37 degree celsius till 28 days after opening the vial.while glargine should be kept away from direct sunlighf.it can be stored in 38 degree rom temeprature after opening for 28 days.it cannot keep in the refrigerator after opening.before open the lantus it can be stored in refrigerator at 38 degree .

4)Nurse should regularly monitor urine for ketone,metaboluc acidosis(ABG), hypoglycemia(RBS)

5)glqrgine is administered during night time before going to bed.while lispro is administered three time a day after each meal.

6)exanatide can control blood sugar with out increasing weight of the patient.it will decreases HbA1c level to a great extend.thus,this used instead of these insulins.