(^360) Medical-Surgical Nursing Demystified
TREATMENT
Type I:
- Regular monitoring of blood glucose.
- Administer insulin to maintain normal blood glucose levels (see Table 8-1).
- Maintain a diabetic diet.
- Administer:
- Rapid-acting:
- aspart
- lispro
- glulisine
- human insulin—a rapid-acting insulin for before-meal control
- inhaled insulin
- aspart
- Rapid-acting:
- Short-acting:
- regular insulin
- Intermediate:
- human insulin—NPH
- human insulin—zinc—lente
- Long-acting:
- human insulin—zinc—ultralente
- insulin detemir
- insulin glargine
- combination products also available
Drug Synonym Appearance Onset Peak Duration Compatibility
Rapid- Regular Clear <.25 hr 2 to 4 hrs 3 to 6 hrs All insulin
acting except lente.
Aspart is not
compatible.
Intermediate- NPH Cloudy 1 to 1.5 hrs 8 to 12 hrs 6 to 24 hrs Regular insulin
acting
Long- Ultralente Cloudy 4 to 6 hrs 16 to 20 hrs 30 to 36 hrs Regular
acting
Table 8-1 Insulin guide