Pharma W7: Insulins
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Questions and Answers

What is the duration of rapid-acting insulin?

  • 12-18 hours
  • 6 hours
  • 1-3 hours
  • 3-5 hours (correct)
  • Which type of insulin is characterized by a cloudy appearance?

  • Intermediate-acting insulin (correct)
  • Regular insulin
  • Rapid-acting insulin
  • Long-acting insulin
  • What is the primary route of administration for short-acting insulin?

  • Intravenous only
  • Subcutaneous and intravenous (correct)
  • Sublingual
  • Inhalation
  • What distinguishes long-acting insulin from other types?

    <p>It has no peak effect.</p> Signup and view all the answers

    When should rapid-acting insulin be administered in relation to meals?

    <p>During mealtime interruptions</p> Signup and view all the answers

    Which type of insulin requires the patient to eat after administration to prevent hypoglycemia?

    <p>Rapid-acting insulin</p> Signup and view all the answers

    What is the primary duration of action for short-acting insulin?

    <p>6 hours</p> Signup and view all the answers

    Which insulin type is administered after meal times for patients in diabetic emergencies?

    <p>Short-acting insulin</p> Signup and view all the answers

    Which characteristic best describes long-acting insulin compared to other types?

    <p>It provides constant insulin levels.</p> Signup and view all the answers

    What is the typical onset time for intermediate-acting insulin?

    <p>1-3 hours</p> Signup and view all the answers

    What is the peak time for rapid-acting insulin to reach its maximum effect?

    <p>1-2 hr</p> Signup and view all the answers

    Which type of insulin is characterized by having no peak effect?

    <p>Long-acting</p> Signup and view all the answers

    What is the typical duration of action for intermediate-acting insulin?

    <p>12-18 hr</p> Signup and view all the answers

    Which type of insulin is usually administered either in the morning or at bedtime?

    <p>Long-acting</p> Signup and view all the answers

    What is a major concern when administering rapid-acting insulin?

    <p>Potential for hypoglycemia if meal is missed</p> Signup and view all the answers

    Study Notes

    Rapid-Acting Insulin

    • Onset: 10-15 minutes
    • Peak: 1-2 hours
    • Duration: 3-5 hours
    • Administration: Subcutaneous (KwikPen or Flex Pen)
    • Insulin lispro (Humalog) and aspart (NovoRapid) are examples
    • Administered at mealtimes
    • Interrupt the patient's meal for administration
    • Patient must eat after injection to prevent hypoglycemia

    Short-Acting Insulin

    • Onset: 30 minutes
    • Peak: 2-3 hours
    • Duration: 6 hours
    • Administration: Intravenous (bolus/infusion) for diabetic ketoacidosis and diabetic coma, subcutaneous and intramuscular (rare)
    • Administered at mealtimes
    • Regular insulin (Humulin R) is an example

    Intermediate-Acting Insulin

    • Onset: 1-3 hours
    • Peak: 4-10 hours
    • Duration: 12-18 hours
    • Administration: Subcutaneous, typically once daily
    • Insulin isophane suspension (NPH) is an example
    • Cloudy appearance
    • Often combined with regular insulin to reduce the number of injections per day

    Long-Acting Insulin

    • Onset: 90 minutes
    • Peak: No peak effect; constant level of insulin in the body
    • Duration: 24 hours
    • Administration: Subcutaneous, once daily (morning/evening)
    • Insulin glargine (Lantus, Basaglar) is an example
    • Refers to it as basal insulin

    Rapid-acting Insulin

    • Onset: 10-15 minutes
    • Peak: 1-2 hours
    • Duration: 3-5 hours
    • Administration: Subcutaneous (KwikPen or Flex Pen) at mealtimes; interrupt the patient's meal; the patient must eat after injection to prevent hypoglycemia
    • Examples: Lispro (Humalog), Aspart (NovoRapid)

    Short-acting Insulin

    • Onset: 30 minutes
    • Peak: 2-3 hours
    • Duration: 6 hours
    • Administration: Intravenous (bolus/infusion) for diabetic ketoacidosis (DKA) or diabetic coma; subcutaneous; intramuscular (rare)
    • Example: Regular insulin (Humulin R)

    Intermediate-acting Insulin

    • Onset: 1-3 hours
    • Peak: 4-10 hours
    • Duration: 12-18 hours
    • Administration: Subcutaneous, once daily
    • Example: Insulin isophane suspension aka NPH (Humulin N)
      • Cloudy appearance
      • Often combined with regular insulin to reduce the number of injections per day

    Long-acting Insulin

    • Onset: 90 minutes
    • Peak: No peak effect; provides a constant level of insulin in the body
    • Duration: 24 hours
    • Administration: Subcutaneous, once daily (am/pm) - usually at bedtime
    • Example: Insulin glargine (Lantus, Basaglar)

    Rapid-Acting Insulin

    • Onset: 10-15 minutes
    • Peak: 1-2 hours
    • Duration: 3-5 hours
    • Administration: Subcutaneous (KwikPen or Flex Pen) at mealtimes; interrupt patient's meal; patient must eat after injection to prevent hypoglycemia
    • Examples: Lispro (Humalog), Aspart (NovoRapid)

    Short-Acting Insulin

    • Onset: 30 minutes
    • Peak: 2-3 hours
    • Duration: 6 hours
    • Administration: Intravenous (bolus/infusion) - for diabetic ketoacidosis (DKA) or diabetic coma; Subcutaneous; Intramuscular (rare)
    • Administered at mealtimes
    • Example: Regular insulin (Humulin R)

    Intermediate-Acting Insulin

    • Onset: 1-3 hours
    • Peak: 4-10 hours
    • Duration: 12-18 hours
    • Administration: Subcutaneous, once daily
    • Example: Insulin isophane suspension aka NPH (Humulin N)
      • Cloudy appearance
      • Often combined with regular insulin to reduce the number of injections daily

    Long-Acting Insulin

    • Onset: 90 minutes
    • Peak: No peak effect - constant level of insulin in the body (basal insulin)
    • Duration: 24 hours
    • Administration: Subcutaneous, once daily (am/pm) - usually at bedtime
    • Examples: Insulin glargine (Lantus, Basaglar)

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    Description

    Test your knowledge on the various types of insulin, including rapid, short, intermediate, and long-acting insulins. This quiz covers their onset, peak times, durations, and methods of administration. Understanding these differences is essential for effective diabetes management.

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