Insulin – Short Acting (Regular) Nursing Considerations

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Kara Tarr
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Study Tools For Insulin – Short Acting (Regular) Nursing Considerations

Drug Card Insulin-Regular (Short Acting) (Cheatsheet)
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Outline

Generic Name

Insulin Regular

Trade Name

Humulin R/Novolin R

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
Subcutaneous 30-45 min 1-5 4.5-6h

 

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

Okay guys, let’s take a look at short-acting insulin or regular insulin also known as Humulin R or Novolin . This is an injectable medication, as you can see here. Okay. So remember when we talk about the therapeutic class of a drug, we’re talking about how the drug works in the body while the pharmacologic class is the chemical effect of the drug. So for short-acting insulin, the therapeutic class is an antidiabetic also a hormone and the pharmacologic class is a pancreatic. So short-acting insulin or regular insulin works by stimulating the uptake of glucose into muscle and fat cells. It inhibits the production of glucose in the liver and prevents the breakdown of fat and protein, which is why short-acting insulin is indicated for hyperglycemia related to type one and type two diabetes, as well as diabetic ketoacidosis. 

So with short-acting, insulin hypoglycemia is most definitely a side effect that can be seen. So things like headache, nausea, drowsiness, sweat, and confusion are all signs of this. And also because insulin is injected, it can cause redness and pain at the injection site. Some important things to remember with short-acting or regular insulin, be sure to assess your patient for symptoms of hypoglycemia and hyperglycemia. Over time monitor the patient’s body weight as insulin may cause weight to increase. It is important to know that short-acting insulin may cause decreased inorganic phosphates, potassium, and magnesium levels. Be sure that the patient knows that blood sugar must be checked every six hours, although sometimes this can vary depending on the type of insulin, but hemoglobin A1C must be checked every three to six months. So guys with regular insulin, it’s given subcutaneously and it has an onset of 30 to 45 minutes. It has a peak of one and a half to two and a half hours and has a duration of four and a half to six hours. And guys, regular insulin is the insulin of choice. When we need to give IV insulin, that’s it for short-acting or regular insulin or Humulin R or Novolin R now go out and be your best today. And as always happy nursing.

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NUR 275 Exam 2

Concepts Covered:

  • Eating Disorders
  • Disorders of Pancreas
  • Labor Complications
  • Respiratory Disorders
  • Noninfectious Respiratory Disorder
  • Renal Disorders
  • Shock
  • Disorders of the Thyroid & Parathyroid Glands
  • Disorders of the Adrenal Gland
  • Disorders of the Posterior Pituitary Gland
  • Disorders of Thermoregulation
  • Endocrine and Metabolic Disorders
  • Urinary System
  • Immunological Disorders
  • Respiratory Emergencies
  • Pregnancy Risks
  • Medication Administration
  • Cardiovascular Disorders

Study Plan Lessons

Potassium-K (Hyperkalemia, Hypokalemia)
Sodium-Na (Hypernatremia, Hyponatremia)
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Chloride-Cl (Hyperchloremia, Hypochloremia)
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Phosphorus-Phos
Hypertonic Solutions (IV solutions)
Isotonic Solutions (IV solutions)
ABGs Nursing Normal Lab Values
ABG (Arterial Blood Gas) Interpretation-The Basics
ROME – ABG (Arterial Blood Gas) Interpretation
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
ABG (Arterial Blood Gas) Oxygenation
Lactic Acid
Base Excess & Deficit
Nursing Care and Pathophysiology for Hyperparathyroidism
Hypoparathyroidism
Metabolic/Endocrine Course Introduction
Metabolic & Endocrine Module Intro
Addisons Disease
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Diabetes Mellitus (DM) Module Intro
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Diabetes Management
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Hyperthermia (Thermoregulation)
Hypothermia (Thermoregulation)
Hypoglycemia
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Sepsis
Fluid Volume Deficit
Nursing Care and Pathophysiology for Scleroderma
Fluid Volume Overload
Fibromyalgia
Chest Tube Management
Furosemide (Lasix) Nursing Considerations
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Antidiabetic Agents
Antidiabetic Agents
Injectable Medications
Insulin – Short Acting (Regular) Nursing Considerations
Insulin
IV Infusions (Solutions)
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Corticosteroids
Insulin Drips
Dopamine (Inotropin) Nursing Considerations
Digoxin (Lanoxin) Nursing Considerations
Dexamethasone (Decadron) Nursing Considerations
Vasopressin
Vasopressin (Pitressin) Nursing Considerations
Cortisone (Cortone) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Respiratory Trauma Module Intro
Asthma
Nursing Care and Pathophysiology for Asthma