NPH insulin

dose

0.5 to 1 unit/kg/day in two divided doses to provide a constant level of basal insulin

insulin pens are good for

14 days

duration of NPH insulin

24 hrs

vials of insulin are good for

31 days

NPH insulin peak?

4 -12 hrs

other names for NPH insulin

Humulin N Novolin N

intermediate acting means

a little bit longer onset time and longer peak and longer duration NPH insulin time than regular insulin

NPH insulin action

allows uptake of glucose into muscle and fat cells inhibits glucose production of liver and prevents the breakdown of fats and proteins so we use blood glucose for energy

*same side effects, therapeutic effects and interactions as with other insulin

ginseng may increase effect of insulin - caution: look for hypoglycemia

monitor

glucose potassium HbA1C may develop antibodies that react with human insulin

NPH insulin indications for use

hyperglycemia (diabetic 1 and 2) diabetic ketoacidosis

NPH insulin contraindications

hypoglycemia hypokalemia - could cause cardiac issues hepatic or renal impairment

nursing considerations

increase frequency if pt is under stress, acutely ill, or there are changes in diet or exercise level

NPH insulin is what type of insulin - onset?

intermediate acting Onset 1 - 1.5 hours

is a basal dose

is in the background and works throughout the day (has a longer duration time)

you an mix NPH insulin with?

regular insulin but clear before cloudy regular before NPH when mixing

NPH insulin route

subcutaneous