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Mixing Insulins
Mixing Insulin, blood glucose, and ketone testing
Question | Answer |
---|---|
What are the sites for fingerstick blood collection? | fingers, earlobes, heels, and forearm |
True or False:Equipment needed to do a fingerstick includes: lancet, alcohol, gauze, bandage, gloves, and collection device. | true |
true or false:You dont have to clean the fingerstick site with alcohol prior to the stick. | false |
true or false:milking the finger or warming the site of the fingerstick is not acceptible. | false |
true or false:when sticking the finger you must hold the finger up. | false, hold the finger down |
what equipment is needed for blood glucose monitoring? | monitor, strips, lancet, alcohol, gauze, bandage, gloves |
true or false:This is the correct procedure for blood glucose monitoring: stick the strip in monitor, clean site with alcohol, do stick and remove first drop with dry gauze and get blood sugar from second drop. | true |
true or false:vision and fine motor skills affect self monitoring or blood glucose. | true |
true or false:cost and technology do not affect self monitoring blood glucose. | false |
true or false:intellectual capacity and wellness affect self monitoring blood glucose. | true |
how oftern should can blood glucose be checked? | may test up to 8 times a day |
what is the purpose of blood glucose monitoring? | it helps stabilize blood sugar and helps diabetics see how to maintain blood sugar. |
true or false:the code on the bottle of strips does not have to match the code that is put into the monitor. | false |
Fasting blood sugar (before breakfast) levels should be _________? | 80-120 |
2 hour postprandial (after meal) blood sugar should be _________? | <140 |
true or false:insulin vials should be shaken. | false, they should be rolled between the hands |
true or false:when mixing insulins, first you inject air into the regular insulin. | false, inject air into NPH first |
true or false:when mixing insulins, regular insulin is drew up first. | true |
A nurse is getting ready to administer 10 units of NPH with 6 units of regular insulin. Explain the proper procedure for mixing these insulins. | First, pull 10 units of air and inject into the NPH. Then, pull 6 units of air and inject into the regular insulin. Without removing syringe, turn regualar insuling upside down and pull up 6 units. Finally, turn NPH vial upside down and pull up 10 units. |
When pulling up the NPH insulin, the nurse accidently pulled 12 units instead of 10. Is it ok for the nurse to inject the 2 extra units back into the vial? Explain. | No, because when drawing up NPH the regular insulin is already in the syringe and will also be injected back into the NPH vial offsetting the correct dose |
How many units of regular insulin should be given for a glucose level of 200-240? | 4 units |
how many units of regular insulin should be given for a glucose level of 241-250? | 6 units |
how many units of regular insulin should be given for a glucose level of 251-300? | 8 units |
how many units of regular insulin should be given for a glucose level of 300 or higher? | for glucose 300 or higher, notify physician |
onset for regular insulin is how long? | 30-60 minutes |
peak for regular insulin is how long? | 2-4 hours |
the duration of regular insulin is how long? | 5-7 hours |
onset for NPH insulin is how long? | 1-2 hours |
peak for NPH insulin is how long? | 4-12 hours |
the duration of NPH insulin is how long? | 18-24 hours |
byproducts of fat breakdown, and they accumulate in the blood and urine | ketones |
what does a patient most commonly use to detect ketonuria | a urine dipstick |
what color does the reagant pad on the strip turn when ketones are present? | purplish |
when should ketone testing be performed? | whenever type 1 diabetics have glycosuria or persistantly elevated blood glucose levels and during illness, pregnancy with preexisting or gestational diabetes |