Short Acting (regular insulin)

Meeting the Guidelines A patient with diabetes is receiving instructions on treatment of hypoglycemia. The recommendation is to consume food or drink that contains 15 grams of carbohydrates to raise the blood sugar levels back into a safe range. Which of the following examples meet the guidelines? Select all that apply. A serving of peanut butter and crackers A serving of glucose gel Four ounces of fruit juice Five to six pieces of hard candy or jelly beans One glucose tablet One tablespoon of sugar

Your response is correct! Treatment for hypoglycemia is determined based on the consciousness of the client. If the client is conscious, provide a high carbohydrate snack. Examples of foods that raise the blood sugar level quickly include 15 g of a fast-acting carbohydrate. Four glucose tablets A serving of glucose gel Five to six pieces of hard candy or jelly beans (check the food label for the exact serving) Four ounces of fruit juice or regular soda One tablespoon of sugar, corn syrup or honey

Expected Finding The nurse is preparing the client's regular insulin. Which of the following is an expected finding? Particles Cloudy Clear Discolored

Anticipated Onset A patient received regular insulin subcutaneously at 0800. At what time would you anticipate the onset time/action following administration? 0845 1000 1300 0810

Disadvantages of Regular Insulin One of the identified disadvantages of regular insulin that may result in the outcome of hypoglycemia is which of the following? Peak of 1-5 hours No disadvantage identified Onset of 30 minutes to 1 hour Duration of 5-10 hours

Hypoglycemia more likely occurs with short-acting insulin because of a longer duration of action for regular insulin. Time/Action ProfileRegular (Short-acting insulin)Onset30 minutes - 1 hourPeak1 - 5 hoursDuration5 - 10 hours

Nursing Action A client with diabetes reports to the unlicensed assistive personnel (UAP) they are feeling weak, tired, having shakes, and they feel their heart is racing after their regular insulin. The UAP alerts the nurse of the client's reported signs and that the client did not eat any of their breakfast. Upon entering the room, the client is found unconscious. Which of the following nursing action is expected? Provide a high carbohydrate snack Call the primary health care provider Administer parenteral glucose Lay the client flat and begin CPR

If the client is unconscious, administer parenteral glucose which includes IV glucose or subcutaneous/intramuscular glucagon.

Route of Administration Regular insulin may be administered via what route? Select all that apply.

Regular insulin is administered subcutaneously, intravenously, and intramuscularly.

Regular insulin is which type of insulin?

Short-Acting Insulin

Anticipated Peak A patient received regular insulin subcutaneously at 0800. At what time would you anticipate the peak time/action following administration? 1800 1500 0900 0830

Short-acting Insulin Onset: 30 min-1 hr Peak: 1-5 hr Duration: 5-10 hr Examples: Human Regular (Humulin R, Novolin R, Velosulin R)

Fastest Absorption Regular insulin may be administered subcutaneously, intravenously, and intramuscularly. Which of the following subcutaneous locations has the fastest absorption? Thigh Abdomen Arm Buttocks

Subcutaneous sites include the abdomen, arm, buttocks, and thigh; with fastest absorption from the abdomen.

What Regular Insulin Controls Regular insulin is used to control which of the following levels in individuals who have diabetes mellitus type I and type II?

glucose