Regular Insulin (HumuLIN R) Flashcards

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Questions and Answers

What is the therapeutic classification of regular (HumuLIN R)?

Hormone (correct)

Antidiabetic (correct)

Analgesic

Antibiotic

What are the main indications for using regular (HumuLIN R)?

Hypertension

Hyperkalemia (correct)

Hyperglycemia (DM) (correct)

Dehydration

Regular (HumuLIN R) is classified as ____ acting.

Rapid acting

What is the pregnancy category for regular (HumuLIN R)?

B Signup and view all the answers

What is the mechanism of action of regular (HumuLIN R)?

Lowers blood glucose by stimulating glucose uptake and inhibiting hepatic glucose production. Signup and view all the answers

What routes can regular (HumuLIN R) be administered via?

IV Signup and view all the answers

The IV onset for regular (HumuLIN R) is ____ min.

30 Signup and view all the answers

How long is the peak duration for IV regular (HumuLIN R)?

15-30 minutes Signup and view all the answers

How long does the action of IV regular (HumuLIN R) last?

30-60 minutes Signup and view all the answers

The Subcutaneous onset for regular (HumuLIN R) is ____ min.

30-60 Signup and view all the answers

How long is the peak duration for subcutaneous regular (HumuLIN R)?

2-4 hours Signup and view all the answers

The duration of action for subcutaneous regular (HumuLIN R) is ____ hours.

5-7 Signup and view all the answers

What is a major contraindication for using regular (HumuLIN R)?

Hypoglycemia Signup and view all the answers

What are some adverse reactions or side effects (ADR/SE) of regular (HumuLIN R)?

Anaphylaxis Signup and view all the answers

What drug-drug interactions should be considered with regular (HumuLIN R)?

May mask signs of hypoglycemia (Beta blockers, clonidine) and can modulate insulin requirements (corticosteroids, alcohol, etc.). Signup and view all the answers

What should be assessed when administering regular (HumuLIN R)?

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

What is a potential nursing diagnosis related to regular (HumuLIN R)?

Altered nutritional metabolism related to decreased endogenous production of insulin as evidenced by serum blood glucose level of 250. Signup and view all the answers

What is an implementation strategy when using regular (HumuLIN R)?

Use insulin syringe, draw regular first when mixing, rotate injection sites, decrease IV infusion rate when BS reaches 250 mg/dL. Signup and view all the answers

What are key points in patient teaching for those using regular (HumuLIN R)?

Self-administration techniques, blood sugar testing, signs and symptoms of hypo/hyperglycemia, compliance with regimen. Signup and view all the answers

What would indicate a positive evaluation outcome for a patient using regular (HumuLIN R)?

A normal blood glucose level/A1C. Signup and view all the answers

Study Notes

Therapeutic Classification

Classified as an antidiabetic hormone.

Indications

Used for treating hyperglycemia, particularly in diabetes mellitus (DM).
Helpful in managing hyperkalemia.

Action

Functions as a rapid-acting insulin.

Pregnancy Category

Classified as Category B, indicating no proven risk to the fetus in humans.

Mechanism of Action

Lowers blood glucose levels by stimulating glucose uptake in tissues.
Inhibits glucose production in the liver.

Routes of Administration

Administered via intravenous (IV) or subcutaneous (sub-q) routes.

IV Onset-Peak-Duration

Onset: 30 minutes after administration
Peak effect: 15 to 30 minutes
Duration: 30 to 60 minutes

Sub-q Onset-Peak-Duration

Onset: 30 to 60 minutes
Peak effect: 2 to 4 hours
Duration: 5 to 7 hours

Contraindications

Not to be used in patients with hypoglycemia.

Adverse Reactions/Side Effects

Potentially life-threatening reactions include anaphylaxis and hypoglycemia.
Other side effects may involve lipodystrophy at injection sites.

Drug-Drug Interactions

Beta blockers and clonidine may mask hypoglycemia signs.
Corticosteroids, thyroid supplements, and estrogen can increase insulin requirements.
Alcohol, ACE inhibitors, oral hypoglycemics, and salicylates may decrease insulin requirements.

Assessment

Monitor signs and symptoms of hypo- and hyperglycemia.
Assess blood glucose levels and A1C results regularly.

Potential Nursing Diagnosis

Altered nutritional metabolism related to decreased endogenous insulin production, evidenced by serum blood glucose levels above 250 mg/dL.

Implementation

Classified as a high-alert medication; requires careful handling.
Use insulin syringes for administration.
When mixing insulins, always draw regular insulin first.
Rotate injection sites to prevent lipodystrophy.
For IV administration, decrease infusion rate when blood sugar reaches 250 mg/dL and utilize an IV pump for safety.

Patient Teaching

Instruct on self-administration techniques for insulin.
Emphasize that insulin control is for managing DM, not curing it.
Teach blood sugar testing techniques and interpreting results.
Discuss dietary considerations for diabetes management.
Inform about signs and symptoms of hypo- and hyperglycemia and outline treatment steps.
Advise on when to contact healthcare providers for concerns.

Evaluation

A positive outcome is indicated by achieving normal blood glucose levels and A1C results.

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Description

Test your knowledge on the therapeutic classification, indications, and mechanisms of action for Regular Insulin (HumuLIN R). This quiz covers various aspects of the drug, including its use in diabetes management and its safety during pregnancy. Perfect for students and healthcare professionals alike.