NUR2474 Pharmacology for Professional Nursing – Examination Blueprint – Final Exam
Insulin: DM 1, DM 2, Gestational Diabetes – HYPOGLYCEMIA IS A DANGEROUS ADVERSE EFFECT AND HIGH PRIORITY FOR TREATMENT
o What types of insulin are ordered before meals and at bedtime? Lispro and Regular; Lantus (hs, not with meals) Why? SUGAR DROPS OVERNIGHT and this can be DANGEROUS so NO NPH at bedtime
o What type of insulin is sometimes given at bedtime, has the longest duration of all the insulins, CANNOT BE MIXED WITH OTHER INSULINS, and for elderly patients is often split into two doses (one in the morning and one at bedtime)? Insulin Glargine (Lantus) is usually given once a day at bedtime. Elderly individuals often have their dose split in two and are administered one dose in the morning and one dose at night; In addition, sometimes insulin lispro is given in a sliding scale with a snack in the evening. It does not last throughout the night - that’s what we want to avoid.
*Insulin aspart protamine in combo with insulin aspart would NOT be given in the evening, as it lasts too long.
*NPH would peak at exactly the WRONG TIME. Do not give that one at bedtime.
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