24 Questions
Which type of diabetes can use oral agents for control?
Type 2 Diabetes
What is the primary function of Metformin (Glucophage)?
Decreases glucose production in the liver
Which medication class does Glimepiride (Amaryl) belong to?
Sulfonylurea
Where can a subcutaneous injection of insulin be administered?
Abdomen (at least 2 inches from belly button)
What is the primary way oral agents work?
Produce more insulin through stimulating the pancreas
What should be monitored when administering Glimepiride (Amaryl)?
Hypoglycemia
Why can't oral agents be used for Type 1 Diabetes?
They require the pancreas to still have some function
What should be checked before administering Metformin (Glucophage)?
Kidney labs
What is the primary route for administering insulin?
Subcutaneous (Sub-Q)
What is the main effect of Glimepiride (Amaryl) on insulin production?
Stimulates insulin production by the pancreas
What does Insulin primarily treat?
Type 1 and many Type 2 Diabetics
What is the drug class of Metformin (Glucophage)?
Biguanide
What is the purpose of the double RN check for insulin administration?
To verify insulin amount and type to avoid dosing errors and harm
Which type of insulin is classified by onset, peak, and duration?
All types of insulin
What is the onset time for rapid-acting insulin?
5-20 minutes
Which insulin type can be given intravenously?
Short-acting insulin
What is the peak duration for short-acting insulin?
2-5 hours
What is the duration of long-acting insulin?
Up to 24 hours
Which insulin type works slowly throughout the day to keep glucose levels consistent?
Basal insulin
When is basal insulin administered?
To keep blood sugar stable throughout the day, even if the patient is not experiencing hyperglycemia
What is the peak duration for intermediate-acting insulin?
6-12 hours
What is the duration of rapid-acting insulin?
2-5 hours
What is the onset time for long-acting insulin?
1-2 hours
What is the peak duration for rapid-acting insulin?
30 minutes - 3 hours
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
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.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
