Insulin – Mixtures (70/30)

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Study Tools For Insulin – Mixtures (70/30)

Drug Card Insulin 70/30 Mixtures (Lispro, Aspart, NPH) (Cheatsheet)
Blank Drug Card Template (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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DRN 201, Week 9

Concepts Covered:

  • Disorders of Pancreas
  • Endocrine
  • Renal
  • Newborn Care
  • Renal Disorders
  • Pregnancy Risks
  • Medication Administration
  • Respiratory Disorders
  • Female Reproductive Disorders
  • Male Reproductive Disorders
  • Integumentary Disorders
  • Musculoskeletal Trauma
  • Urinary System
  • Immunological Disorders
  • Acute & Chronic Renal Disorders
  • Emergency Care of the Neurological Patient

Study Plan Lessons

03.04 DKA vs HHNK for CCRN Review
09.05 Chronic Renal Failure for CCRN Review
Antidiabetic Agents
Blood Glucose Monitoring
Creatinine Clearance Lab Values
Diabetes Management
Diabetes Mellitus (DM) Module Intro
Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetic Emergencies for Certified Emergency Nursing (CEN)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Gestational Diabetes (GDM)
Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive
Glipizide (Glucotrol) Nursing Considerations
Glucose Lab Values
Glucose Tolerance Test (GTT) Lab Values
Hemoglobin A1c (HbA1C)
Insulin
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Case Study for Type 1 Diabetes
Anti-Infective – Sulfonamides
Wounds (Infectious, Surgical, Trauma) for Progressive Care Certified Nurse (PCCN)
Insulin Mnemonic (Ready, Set, Inject, Love)
Amputation
Nursing Case Study for Diabetic Foot Ulcer
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Gabapentin (Neurontin) Nursing Considerations
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
03.03 Hypoglycemia for CCRN Review
Acute Confusion
Corticosteroids
Glucagon Lab Values
Glucagon (GlucaGen) Nursing Considerations
Hyperglycemia for Progressive Care Certified Nurse (PCCN)
Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)