meds and insulin

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Questions and Answers

Which type of diabetes can use oral agents for control?

Type 1 Diabetes

Type 3 Diabetes

Type 2 Diabetes (correct)

Gestational Diabetes

What is the primary function of Metformin (Glucophage)?

Increases blood glucose levels

Decreases glucose production in the liver (correct)

Stimulates insulin production by the pancreas

Causes kidney damage

Which medication class does Glimepiride (Amaryl) belong to?

Biguanide

Thiazolidinedione

Alpha-glucosidase inhibitor

Sulfonylurea (correct)

Where can a subcutaneous injection of insulin be administered?

Abdomen (at least 2 inches from belly button) Signup and view all the answers

What is the primary way oral agents work?

Produce more insulin through stimulating the pancreas Signup and view all the answers

What should be monitored when administering Glimepiride (Amaryl)?

Hypoglycemia Signup and view all the answers

Why can't oral agents be used for Type 1 Diabetes?

They require the pancreas to still have some function Signup and view all the answers

What should be checked before administering Metformin (Glucophage)?

Kidney labs Signup and view all the answers

What is the primary route for administering insulin?

Subcutaneous (Sub-Q) Signup and view all the answers

What is the main effect of Glimepiride (Amaryl) on insulin production?

Stimulates insulin production by the pancreas Signup and view all the answers

What does Insulin primarily treat?

Type 1 and many Type 2 Diabetics Signup and view all the answers

What is the drug class of Metformin (Glucophage)?

Biguanide Signup and view all the answers

What is the purpose of the double RN check for insulin administration?

To verify insulin amount and type to avoid dosing errors and harm Signup and view all the answers

Which type of insulin is classified by onset, peak, and duration?

All types of insulin Signup and view all the answers

What is the onset time for rapid-acting insulin?

5-20 minutes Signup and view all the answers

Which insulin type can be given intravenously?

Short-acting insulin Signup and view all the answers

What is the peak duration for short-acting insulin?

2-5 hours Signup and view all the answers

What is the duration of long-acting insulin?

Up to 24 hours Signup and view all the answers

Which insulin type works slowly throughout the day to keep glucose levels consistent?

Basal insulin Signup and view all the answers

When is basal insulin administered?

To keep blood sugar stable throughout the day, even if the patient is not experiencing hyperglycemia Signup and view all the answers

What is the peak duration for intermediate-acting insulin?

6-12 hours Signup and view all the answers

What is the duration of rapid-acting insulin?

2-5 hours Signup and view all the answers

What is the onset time for long-acting insulin?

1-2 hours Signup and view all the answers

What is the peak duration for rapid-acting insulin?

30 minutes - 3 hours Signup and view all the answers

Study Notes

Insulin Administration and Types: Key Facts for Nursing

Insulin is a high-risk drug due to potential harm from overdose
Double RN Check: Two nurses verify insulin amount and type to avoid dosing errors and harm
Double-check process involves drawing up insulin and asking another nurse to verify the amount without revealing the expected amount
Insulin types include rapid-acting, short-acting, intermediate-acting, and long-acting, classified by onset, peak, and duration
Mealtime insulin, known as bolus insulin, includes rapid-acting (e.g., Insulin Lispro, Insulin Aspart) and short-acting (e.g., Regular Insulin) types
Rapid-acting insulin onset: 5-20 minutes, peak: 30 minutes - 3 hours, duration: 2 - 5 hours, administered subcutaneously
Short-acting insulin onset: 30 minutes, peak: 2 - 5 hours, duration: 5 - 8 hours, can be given intravenously, administered subcutaneously
Daily control insulin, known as basal insulin, includes intermediate-acting (e.g., NPH Insulin) and long-acting (e.g., Insulin Glargine) types
Intermediate-acting insulin onset: 1 - 2 hours, peak: 6 - 12 hours, duration: 18 - 26 hours, administered subcutaneously
Long-acting insulin onset: 1 - 2 hours, no peak, duration: up to 24 hours, administered subcutaneously
Basal insulin works slowly throughout the day to keep glucose levels consistent, closely mimicking the pancreas' insulin secretion
Basal insulin is administered to keep blood sugar stable throughout the day, even if the patient is not experiencing hyperglycemia, but not if the patient is hypoglycemic

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Description

Test your knowledge on insulin administration and types with this nursing quiz. Learn about the different insulin types, their onset, peak, and duration, as well as the crucial double RN check process to prevent dosing errors and harm. Sharpen your understanding of mealtime (bolus) insulin and daily control (basal) insulin to enhance patient care and safety.