Complete Study Guide Bundle For Nursing Students. Nursing Bundle 2022 Latest Update

COMPLETE STUDY GUIDE BUNDLE FOR NURSING STUDENTS. NURSING BUNDLE 2022 LATEST UPDATE   ALL ABOUT INSULIN RAPID-ACTING SHORT-ACTING INTERMEDIATE-ACTING LONG-ACTING Onset: 15 MIN! Peak: 30-90 minutes Duration: 3-5 hours Onset: 30-60 minutes Peak: 2-4 hours Duration: 5-8 hours Onset: 60-120 minutes Peak: 4-12 hours Duration: 14 hours (hence, given 2x/day) Onset: 60-120 minutes WHEN DO YOU EAT? 1. Rapid-acting: Covers insulin needs for meals eaten at the same time of injection 2. Short-acting (Regular): Covers insulin needs for meals eaten within 30-60 minutes of injection 3. Intermediate-acting (NPH): Covers insulin needs for half the day or overnight; typically given morning and night 4. Long-acting: Covers insulin needs for the full day; can be combined with other insulin but never mixed RULES OF INSULIN • Watch for signs and symptoms of hypoglycemia shaky, clammy, pale, sweaty o THINK: “Cool and clammy, give me candy” o IF AWAKE: Ask the patient to eat (candy, juice, low fat milk) o IF UNCONSCIOUS: Stab with IV D50 • Regular insulin: ONLY insulin given IV • NPH: If mixed, clear-to-cloudy (NPH is cloudy) • Long-acting: Do not mix; NO PEAK • Rotate injection sites do not aspirate/massage • Always increase insulin with: (glucose with any type of stress) o Stress o Sepsis o Sickness o Steroids Peak: NO PEAK Duration: 24 hours INSULIN PUMP • Give a steady dose of insulin for Type 1 DM • Check BG 4x/day • Push bolus at meals lOMoAR cPSD| lOMoAR cPSD| lOMoAR cPSD| lOMoAR cPSD| COMPLETE STUDY GUIDE BUNDLE FOR NURSING STUDENTS. NURSING BUNDLE 2022 LATEST UPDATE   ALL ABOUT INSULIN RAPID-ACTING SHORT-ACTING INTERMEDIATE-ACTING LONG-ACTING Onset: 15 MIN! Peak: 30-90 minutes Duration: 3-5 hours Onset: 30-60 minutes Peak: 2-4 hours Duration: 5-8 hours Onset: 60-120 minutes Peak: 4-12 hours Duration: 14 hours (hence, given 2x/day) Onset: 60-120 minutes WHEN DO YOU EAT? 1. Rapid-acting: Covers insulin needs for meals eaten at the same time of injection 2. Short-acting (Regular): Covers insulin needs for meals eaten within 30-60 minutes of injection 3. Intermediate-acting (NPH): Covers insulin needs for half the day or overnight; typically given morning and night 4. Long-acting: Covers insulin needs for the full day; can be combined with other insulin but never mixed RULES OF INSULIN • Watch for signs and symptoms of hypoglycemia shaky, clammy, pale, sweaty o THINK: “Cool and clammy, give me candy” o IF AWAKE: Ask the patient to eat (candy, juice, low fat milk) o IF UNCONSCIOUS: Stab with IV D50 • Regular insulin: ONLY insulin given IV • NPH: If mixed, clear-to-cloudy (NPH is cloudy) • Long-acting: Do not mix; NO PEAK • Rotate injection sites do not aspirate/massage • Always increase insulin with: (glucose with any type of stress) o Stress o Sepsis o Sickness o Steroids Peak: NO PEAK Duration: 24 hours INSULIN PUMP • Give a steady dose of insulin for Type 1 DM • Check BG 4x/day • Push bolus at meals lOMoAR cPSD| lOMoAR cPSD| lOMoAR cPSD| lOMoAR cPSD|