Levemir Flashcards
15 Questions
100 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the therapeutic classification of detemir (Levemir)?

  • Antibiotic
  • Anti-inflammatory
  • Analgesic
  • Antidiabetic, hormone (correct)

    • What are the indications for detemir (Levemir)?

    Hyperglycemia with type 1 or 2 diabetes mellitus

    Detemir (Levemir) is classified as a ____ acting insulin.

    long

    What is the pregnancy category of detemir (Levemir)?

    <p>B</p> Signup and view all the answers

    What is the mechanism of action for detemir (Levemir)?

    <p>Lower blood glucose by stimulating glucose uptake in skeletal muscle and fat inhibiting hepatic glucose production</p> Signup and view all the answers

    What is the route of administration for detemir (Levemir)?

    <p>Subcutaneous</p> Signup and view all the answers

    What is the onset, peak, and duration of subcutaneous detemir (Levemir)?

    <p>3-4h onset, 3-14h peak, 6-24h duration</p> Signup and view all the answers

    What is the primary contraindication for detemir (Levemir)?

    <p>Hypoglycemia</p> Signup and view all the answers

    What are some ADRs/SEs of detemir (Levemir)?

    <p>Hypoglycemia, anaphylaxis, lipodystrophy</p> Signup and view all the answers

    Which drugs may have interactions with detemir (Levemir)?

    <p>All of the above</p> Signup and view all the answers

    What should be assessed when administering detemir (Levemir)?

    <p>Signs and symptoms of hypo/hyperglycemia, blood glucose, A1C</p> Signup and view all the answers

    What is a potential nursing diagnosis for a patient on detemir (Levemir)?

    <p>Altered nutritional metabolism related to decreased endogenous production of insulin.</p> Signup and view all the answers

    What is a key implementation strategy when administering detemir (Levemir)?

    <p>Use high alert medication protocols, do not mix with other insulins, and rotate injection sites.</p> Signup and view all the answers

    What patient teaching should be provided for detemir (Levemir)?

    <p>Self-administration techniques, understanding DM control, blood sugar testing, nutrition, and when to contact the provider.</p> Signup and view all the answers

    What would indicate a positive evaluation for a patient using detemir (Levemir)?

    <p>A normal blood glucose level or normal A1C</p> Signup and view all the answers

    Study Notes

    Detemir (Levemir) Overview

    • Designed as an antidiabetic hormone for managing diabetes.
    • Primarily indicated for hyperglycemia in type 1 or type 2 diabetes mellitus.

    Pharmacological Characteristics

    • Classified as a long-acting insulin.
    • Pregnancy category B, indicating safety during pregnancy.

    Mechanism of Action

    • Lowers blood glucose levels by promoting glucose absorption in muscles and fat.
    • Inhibits glucose production in the liver.

    Administration Guidelines

    • Administered subcutaneously (Sub-q).
    • Onset occurs in 3-4 hours, with a peak effect between 3-14 hours, and a duration lasting 6-24 hours.

    Contraindications and Safety

    • Contraindicated in individuals experiencing hypoglycemia.
    • Adverse reactions may include hypoglycemia, anaphylaxis, and lipodystrophy (fat redistribution/loss).

    Drug Interactions

    • Beta blockers and clonidine can mask hypoglycemia symptoms.
    • Insulin requirements can increase with corticosteroids, thyroid supplements, and estrogen.
    • Consumption of alcohol, ACE inhibitors, oral hypoglycemics, and salicylates may decrease insulin requirements.

    Patient Assessment

    • Monitoring of signs and symptoms of hypo/hyperglycemia, blood glucose levels, and A1C is essential.

    Nursing Diagnoses

    • Potential diagnosis includes altered nutritional metabolism due to reduced insulin production as evidenced by a blood glucose level of 250.

    Implementation Strategies

    • Utilize high-alter medication practices and insulin syringes.
    • Do not mix with other insulins, store in the refrigerator, and maintain adherence to administration schedules.
    • Rotate injection sites (such as abdomen, thigh, and upper arm) to prevent tissue damage.
    • Administer doses in alignment with evening meals or bedtime.
    • Avoid using detemir if the solution appears cloudy or discolored, and never administer via IV or pumps.

    Patient Education

    • Teach self-administration techniques for insulin and emphasize that insulin controls diabetes but does not cure it.
    • Provide guidance on blood sugar testing techniques and the importance of regimen compliance.
    • Educate patients on recognizing signs of hypoglycemia and hyperglycemia and when to contact a healthcare provider.

    Evaluation of Treatment

    • A favorable outcome is indicated by maintained normal blood glucose levels and A1C readings.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Test your knowledge with flashcards on Levemir (Detemir), an antidiabetic hormone. This quiz covers its therapeutic classification, indications, mechanism of action, and pregnancy category. Perfect for healthcare students and professionals.

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser