Insulin – Mixtures (70/30)

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Drug Card Insulin 70/30 Mixtures (Lispro, Aspart, NPH) (Cheatsheet)
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Outline

Generic Name

Lispro mixture, Aspart mixture, NPH/regular

Trade Name

Humalog Mix, NovoLog Mix, Humulin 70/30, Novolin 70/30

Indication

hyperglycemia with diabetes type 1 and 2, diabetic ketoacidosis

Action

stimulates uptake of glucose into muscle and fat cells, inhibits production of glucose in the liver,
prevents breakdown of fat and protein

Route Onset Peak Duration
Lispro mix 15-30 min 2-3 hr 24 hr
Aspart mix 15 min 1-4 hr 18-24 hr
NPH regular 30 min 4-8 hr 24 hr

 

Therapeutic Class

antidiabetics, hormones

Pharmacologic Class

pancreatics

Nursing Considerations

• assess for symptoms of hypoglycemia or hyperglycemia
• monitor body weight over time
• may cause decreased inorganic phosphates, potassium, and magnesium
• monitor blood sugars every 6 hours, monitor A1C every 3-6 months

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Transcript

Hey guys, let’s talk about insulin mixtures or 70 30 insulin also known as Humalog mix, Novolog mix Humulin 70 30, and Novolin 70 30 here. We see a picture of a Humalog mix. This is an injectable medication. So the therapeutic class of insulin mixtures is anti-diabetics and hormones. And remember the therapeutic class is how the drug works in the body. The pharmacologic class is pancreatics. And remember, this is the chemical effect of the drug. So insulin mixture 70/30 works by stimulating the uptake of glucose into muscle and fat cells. They inhibit the production of glucose in the liver and prevents the breakdown of fat and protein. Insulin mixtures are indicated for hyperglycemia related to type one and type two diabetes, and also for the treatment of diabetic ketoacidosis.

So with insulin, we sometimes see side effects related to hypoglycemia, which can include things like headache, nausea, confusion, and also because insulin is injected, it can cause injection site redness and pain. Let’s take a look at a few nursing considerations for insulin mixtures. Be sure to assess for signs of hypoglycemia and hyperglycemia, monitor the patient’s weight as insulin can increase weight in the patient over time. It is important to know that insulin mixture can cause a decrease in inorganic, phosphates, potassium, and magnesium levels. Be sure to teach the patient that blood sugar should be monitored while on insulin. And, this will depend on the type of insulin that the is on, but A1C should be monitored every three to six months. Guys, it’s important that our patients who are on insulin understand the signs and symptoms of hypoglycemia and hyperglycemia and what to do if this occurs. Also, guys, some patients believe that if they are on insulin, they can pretty much eat whatever they like and insulin will just fix their issue. So be sure that your patient understands the implications of this as this misconception is definitely something I, as a nurse, have encountered time after time and really have had to educate the patient on. That’s it for 70/30 mixed insulin, Humalog mix, Novolog mix, Humulin 70/30, or Novolin 70/30. Now go out and be your best self today. And as always happy nursing.

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Pharm 1

Concepts Covered:

  • Test Taking Strategies
  • Learning Pharmacology
  • Medication Administration
  • Dosage Calculations
  • Adult
  • Emergency Care of the Cardiac Patient
  • Cardiac Disorders
  • Cardiovascular Disorders
  • Vascular Disorders
  • Hematologic Disorders
  • Acute & Chronic Renal Disorders
  • Disorders of Pancreas
  • Female Reproductive Disorders
  • Immunological Disorders
  • Urinary System
  • Central Nervous System Disorders – Brain
  • Pregnancy Risks
  • Neurological
  • Disorders of the Posterior Pituitary Gland
  • Shock
  • Male Reproductive Disorders
  • Urinary Disorders

Study Plan Lessons

12 Points to Answering Pharmacology Questions
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
Basics of Calculations
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
IV Infusions (Solutions)
Complex Calculations (Dosage Calculations/Med Math)
Interactive Practice Drip Calculations
Pediatric Dosage Calculations
ACLS (Advanced cardiac life support) Drugs
Amiodarone (Pacerone) Nursing Considerations
Adenosine (Adenocard) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Anti-Platelet Aggregate
Clopidogrel (Plavix) Nursing Considerations
Coumarins
Warfarin (Coumadin) Nursing Considerations
Thrombin Inhibitors
Enoxaparin (Lovenox) Nursing Considerations
Heparin (Hep-Lock) Nursing Considerations
Thrombolytics
Alteplase (tPA, Activase) Nursing Considerations
Streptokinase (Streptase) Nursing Considerations
Antidiabetic Agents
Glipizide (Glucotrol) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Insulin
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Essential NCLEX Meds by Class
Renin Angiotensin Aldosterone System
Sympatholytics (Alpha & Beta Blockers)
Atenolol (Tenormin) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
ACE (angiotensin-converting enzyme) Inhibitors
Captopril (Capoten) Nursing Considerations
Enalapril (Vasotec) Nursing Considerations
Lisinopril (Prinivil) Nursing Considerations
Angiotensin Receptor Blockers
Losartan (Cozaar) Nursing Considerations
Calcium Channel Blockers
Amlodipine (Norvasc) Nursing Considerations
Diltiazem (Cardizem) Nursing Considerations
Nifedipine (Procardia) Nursing Considerations
Verapamil (Calan) Nursing Considerations
Cardiac Glycosides
Digoxin (Lanoxin) Nursing Considerations
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Furosemide (Lasix) Nursing Considerations
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Spironolactone (Aldactone) Nursing Considerations
Mannitol (Osmitrol) Nursing Considerations
Glucagon (GlucaGen) Nursing Considerations
HMG-CoA Reductase Inhibitors (Statins)
Atorvastatin (Lipitor) Nursing Considerations
Magnesium Sulfate
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Vasopressin
Epinephrine (EpiPen) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
Vasopressin (Pitressin) Nursing Considerations
Anti-Infective – Sulfonamides
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Insulin Drips