Types of Insulin
How soon before a meal should Regular insulin be administered?
30-45 minutes before a meal
How should each insulin dose be verified?
At MTMC, each insulin dose is double-checked with another TN or LPN using the order, the syringe with insulin drawn up, and the container from which insulin was drawn.
When mixing insulins, which bottle would you put air into first?
Cloudy (NPH) insulin
When mixing insulins, which do you draw up into the syringe first?
Draw up clear insulin first (Regular, Aspart, Lispro, Glulisine)
What insulins can NOT be mixed with any other insulin?
Glargine (Lantus) and Determir (Levemir) Novolog 70/30 and Humalog 75/25 Novolin/Humulin 70/30 and Humulin 50/50
After mixing insulins, how soon do you give the injection?
Immediately (within 1-3 minutes)
When should Aspart (NovoLog) and Lispro (Humalog) be administered?
Immediately before a meal.
What category would you find NPH (Novolin N. Humulin N) insulin?
Intermediate-Acting
What category would you find Determir (Levemir) insulin?
Long-Acting
What category would you find Glargine (Lantus) insulin?
Long-Acting
What insulins can be mixed with Long-Acting insulins?
NONE!
What is the onset, peak, and duration in hours for Lispro (Humalog) insulin?
Onset: 0.25 hour Peak: 0.5 to 1.5 hours Duration: 6 to 8 hours
What is the onset, peak, and duration in hours for Aspart (Novolog) insulin?
Onset: 0.5 hour Peak: 1 to 3 hours Duration: 3 to 5 hours
What is the onset, peak, and duration in hours for Regular (Novolin R, Humulin R) insulin?
Onset: 0.5 to 1 hour Peak: 2 to 3 hours Duration: 8 to 12 hours
What is the onset, peak, and duration in hours for NPH (Novolin N, Humulin N) insulin?
Onset: 1 to 1.5 hours Peak: 4 to 12 hours Duration: 18 to 24 hours
What is the onset, peak, and duration in hours for Glargine (Lantus) insulin?
Onset: 1 to 2 hours Peak: None Duration: 24 hours
What is the onset, peak, and duration in hours for Detemir (Levemir) insulin?
Onset: 2 to 5 hours Peak: None Duration: 6 to 24 hours
What is the onset, peak, and duration in hours for Glulisine (Apidra) insulin?
Onset: Less than or equal 0.25 hour Peak: 0.5 to 1.5 hours Duraiton: 2 to 4 hours
What category would you find Aspart (NovoLog) insulin?
Rapid-Acting Insulin
What category would you find Glulisine (Apidra) insulin?
Rapid-Acting Insulin
What category would you find Lispro (Humalog) insulin?
Rapid-Acting Insulin
NPH is compatible to be mixed with which types of insulin?
Rapid-Acting and Short-Acting insulins (Aspart, Lispro, Glulisine, and Regular)
What can not be mixed with Aspart (Novolog) insulin?
Regular insulin can not be mixed in the same syringe as Aspart.
What insulin can be mixed with NPH?
Regular, Lispro (Humalog), Aspart (NovoLog), and Glulisine (Apidra).
What insulins may be mixed with Intermediate-Acting Insulins (NPH)?
Regular, Lispro, Aspart, and Glulisine
What category would you find Regular (Novolin R, Humulin R) insulin?
Short-Acting
What is the best injection site for an insulin injection?
The abdomen with the thighs as alternate choice. Rotates sites 1/2-1" with each injection.
