Questions and Answers
What is the therapeutic classification of detemir (Levemir)?
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)?
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What is the mechanism of action for detemir (Levemir)?
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What is the route of administration for detemir (Levemir)?
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What is the onset, peak, and duration of subcutaneous detemir (Levemir)?
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What is the primary contraindication for detemir (Levemir)?
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What are some ADRs/SEs of detemir (Levemir)?
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Which drugs may have interactions with detemir (Levemir)?
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What should be assessed when administering detemir (Levemir)?
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What is a potential nursing diagnosis for a patient on detemir (Levemir)?
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What is a key implementation strategy when administering detemir (Levemir)?
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What patient teaching should be provided for detemir (Levemir)?
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What would indicate a positive evaluation for a patient using detemir (Levemir)?
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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.
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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.
