Podcast
Questions and Answers
What are some other names for NPH insulin?
What are some other names for NPH insulin?
What type of insulin is NPH insulin?
What type of insulin is NPH insulin?
Intermediate acting
What does intermediate acting mean?
What does intermediate acting mean?
A little bit longer onset time and longer peak and duration than regular insulin.
What is the peak time for NPH insulin?
What is the peak time for NPH insulin?
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What is the duration of NPH insulin?
What is the duration of NPH insulin?
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What are some contraindications for NPH insulin?
What are some contraindications for NPH insulin?
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What is the action of NPH insulin?
What is the action of NPH insulin?
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What are the indications for the use of NPH insulin?
What are the indications for the use of NPH insulin?
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What is the route of administration for NPH insulin?
What is the route of administration for NPH insulin?
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What is a basal dose?
What is a basal dose?
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Can you mix NPH insulin with other insulins?
Can you mix NPH insulin with other insulins?
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What should be monitored when using NPH insulin?
What should be monitored when using NPH insulin?
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What are nursing considerations when administering NPH insulin?
What are nursing considerations when administering NPH insulin?
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How long are vials of insulin good for?
How long are vials of insulin good for?
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How long are insulin pens good for?
How long are insulin pens good for?
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What is the recommended dose of NPH insulin?
What is the recommended dose of NPH insulin?
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Ginseng may increase the effect of insulin.
Ginseng may increase the effect of insulin.
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Study Notes
NPH Insulin Overview
- Also known as Humulin N and Novolin N.
- Classified as an intermediate-acting insulin with an onset of 1 to 1.5 hours.
Characteristics of NPH Insulin
- Intermediate acting indicates a prolonged onset time, peak, and duration compared to regular insulin.
- Peak action occurs between 4 to 12 hours after administration.
- Average duration of action is approximately 24 hours.
Contraindications and Cautions
- Contraindicated in patients with hypoglycemia and hypokalemia due to potential cardiac complications.
- Use with caution in individuals with hepatic or renal impairment.
Mechanism of Action
- Facilitates glucose uptake in muscle and fat cells.
- Inhibits liver glucose production and fat/protein breakdown, promoting blood glucose utilization for energy.
Indications for Use
- Primarily prescribed for hyperglycemia in both Type 1 and Type 2 diabetes.
- Effective in the management of diabetic ketoacidosis.
Administration Routes
- Administered via subcutaneous injection.
Role as Basal Insulin
- Functions as a basal dose, maintaining background insulin levels throughout the day due to its extended duration.
Mixing Instructions
- Can be mixed with regular insulin.
- Always follow the sequence: clear (regular) before cloudy (NPH).
Monitoring Parameters
- Regular monitoring of glucose levels, potassium, and HbA1C is essential.
- Be aware of potential antibody development that may react to human insulin.
Nursing Considerations
- Increase monitoring frequency during stress, acute illness, or when there are changes in diet or exercise levels.
Shelf Life of Insulin
- Open vials of insulin remain stable for 31 days.
- Insulin pens are effective for up to 14 days after opening.
Dosage Guidelines
- Typical dosing ranges from 0.5 to 1 unit/kg/day, usually divided into two doses to ensure consistent basal insulin levels.
Side Effects and Interactions
- Similar side effects and therapeutic effects as other types of insulin.
- Caution advised with ginseng, which may enhance insulin effectiveness and increase the risk of hypoglycemia.
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Description
Test your knowledge of NPH insulin with these flashcards. Learn about its other names, onset times, and characteristics as an intermediate-acting insulin. Perfect for students or healthcare professionals looking to solidify their understanding of this important medication.
