Question

ENDOCRINE 72. Normal glucose level is do mg/dl. 73. A diabetic patient asks the nurse the following questions... a. "I normally take pill to control my diabetes. Why is the doctor ordering insulin since I've been hospitalized for this infection?" b. "How should I draw up Regular and NPH insulin in the same syringe?" 74. Which insulin is the fastest acting? Homlog 75. Which insulin acts for 24 hours and has no peak action? 76. Which insulin can be administered IV? 77. A patient receiving Regular insulin at 0730 should have a snack at what time to cover peak action time? 78. A patient receiving NPH insulin at 0730 should have a snack at what time to cover peak action time? 79. When is a patient receiving insulin at most risk for hypoglycemia?

Answer 1

72) Normal blood sugar levels are less than 100 mg/dL after fasting for at least eight hours. And they're less than 140 mg/dL two hours after eating. During the day, levels tend to be at their lowest just before meals.

73) a)Diabetes pills don't replace the body's insulin, but they can help the body make more insulin or help it more effectively use the insulin it does make. Most people who have type 2 diabetes take diabetes pills to help them keep their blood sugar levels closer to normal. People with type 1 diabetes don't use diabetes pills. They need to take insulin shots because their bodies can't make any of their own insulin.

b) When you mix regular insulin with another type of insulin, always draw the regular insulin into the syringe first. When you mix two types of insulin other than regular insulin, it does not matter in what order you draw them into the syringe.

Regular (short acting insulin) and NPH can be mixed. ... Rapid acting or Regular insulin is drawn up first, followed by intermediate/long acting insulin; use within 15 minutes.

74) Mealtime insulin are fast-acting insulin that are taken immediately before or after meals. As you eat, your blood sugar naturally goes up, or “spikes.” Humalog(a fast-acting insulin) works to manage those blood sugar spikes and may help keep your sugar levels in balance.

75) Insulin glargine (Basaglar, Lantus, Toujeo) Insulin is delivered at a steady level.

76)

regular

The only type of insulin that should be given intravenously is human regular insulin. There is no advantage to using rapid-acting analogs in preparing insulin infusions because the rate of absorption is no longer a factor when administering insulin intravenously and can only result in added costs to the institution.

77) A snack 2 h after the insulin injection results in a smoother blood glucose profile and reduces the risk of hypoglycaemia in patients with type 1 diabetes treated with preprandial regular human insulin.

78) 1600

79) Hypoglycemia is most common among people who take insulin, but it can also occur if you're taking certain oral diabetes medications. Common causes of diabetic hypoglycemia include: Taking too much insulin or diabetes medication. ... Increasing exercise or physical activity without eating more or adjusting your medications

signs and symptoms of severe hypoglycemia can occur. These include:

• Clumsiness or jerky movements
• Muscle weakness
• Difficulty speaking or slurred speech
• Blurry or double vision
• Drowsiness
• Confusion