QMA INSULIN ADMINISTRATION EXAMINERS QUESTIONS 100% SOLVED ANSWERS

QMA INSULIN ADMINISTRATION EXAMINERS QUESTIONS 100% SOLVED ANSWERS Why is it important to rotate injection sites? - Answer-to prevent irritation and tissue damage to any on injection site where are common areas for insulin injection? - Answer-abdomen, outer thighs, back of arm, buttock What are areas not to be used as injection sites? - Answer-near joints, the groin area, the naval area, middle of abdomen, or scar tissue What is the route the physician will order for an insulin injection? - Answer-subcutaneous injections, subq, SQ where are the subcutaneous layers located? - Answer-between the skin and the muscle What are 6 rights of med admin? - Answer-Right drug right resident right dose right route right time right documentation How many times should the mar be check before giving any meds or Insulin? - Answer-3 times How is the cloudy insulin mixed? - Answer-roll the insulin vial between your hands 3-4 times to mix evenly what angle is the insulin needle inserted? - Answer-45-90 degree angle How long is the needle kept in place after injection? - Answer-count of 5 Do you massage the area after the insulin is injected? - Answer-no How long is the pen needle kept in place after injection? - Answer-count of 10 Is the QMA allowed to administer gluc agon for low blood sugar? - Answer-No the QMA must pass the written test with what score? - Answer-88% the QMA must have how many inservice hours yearly pertaing to insulin administration? - Answer-1 hour hypo - Answer-diabetic reaction hyper - Answer-diabetic coma Why can't insulin be taken in pill form? - Answer-stomach acid will break it down or destroy it making it ineffective Rapid acting insulin - Answer-should be taken just before or after eating. it is mostly gone from the body after a few hours. Regular/short acting insulin - Answer-should be taken 30-45 minutes prior to eating. it is mostly gone from the body after a few hours Intermediate acting insulin - Answer-Is often used in the morning or at bedtime to help control blood glucose between meals Long acting insulin - Answer-Is often used in the morning or at bedtime to help control the blood glucose throughout the day there are several types of insulin on the market. the most common forms are - Answer-rapid acting regular/short acting intermediate acting long acting Islets of Langerhans - Answer-clusters of cells throughout the pancreas that secrete insulin and glucagon the pancreas serves 2 inportant functions - Answer-produces enzymes that breaj down food in the intestines Produces hormones that regulate blood sugar levels 3 main types of enzymes produced by the pancreas - Answer-Lipase- breaks down fat Protease- breaks down proteins Amylase- breaks down carbohydrates Symptoms of Hyperglycemia - Answer-Shortness of breath fruity odor to breath dry mouth polyuria polyphagia polydipsia fatigue dry/flushed skin confusion slurred speech slow reflexes deep labored breathing Symptoms of hypoglycemia - Answer-Shakiness dizziness sweating hunger pale/cool/clammy skin mood swings behavior changes clumsy/ jerky movement poor concentration tingling sensation around the mouth, seizure, nightmare retinopathy - Answer-eyesight is damaged from bleeding, detachment of the retina, or the presence of abnormal blood vessels in the retina. can lead to blindness blindness - Answer-inability to see. the leading cause in the U.S. is cataracts, glaucoma, and age related macular degeneration Cataracts - Answer-a thickening of the lens of the eye that causes vision to become cloudy, opaque, and distorted Glaumcoma - Answer-caused by pressure build up in the eye. nephropathy - Answer-damage to the kidneys Amylase - Answer-an enzyme found mainly in saliva and pancreatic fluid that converts starch and glycogen into simple sugars autonomic neuropathy - Answer-damage to the nerves that control involuntary bodily functions such as blood pressure, heart rate, sweating, bowel and bladder processes, digestion, respiration beta cells - Answer-a type of cell in the pancreas that produces and releases insulin blood glucose level - Answer-How much glucose is in the blood at a given moment carbohydrates - Answer-one of 3 main energy sources for the body. carbohydrates include sugars, starches, and fiber