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Now as far as diabetic treatments guys we’re gonna cover all the diabetic pharmacology including the seven rules of insulin so write these down these are the most tested so remember type 1 we have none or no insulin the body destroyed the pancreas so they are insulin dependent for life and type 2 the problem is you your diet and a little bit of genetics so remember
Type 2 we have few insulin receptors working so the first treatment is to fix you your habits so we focus on diet and exercise to help repair those broken receptors aka increase insulin sensitivity then we give drugs like oral meds and insulin but only if diet and exercise don’t manage it alone so for our 7 insulin rules peaks equals plates guys typically we give
Food during a peak since the greatest risk for low sugar is during those insulin peaks guys the number one way to kill your patient is not giving food during the peaks so know your peak times during peaks we monitor for that low sugar sugar below 70 now number 2 if you get low sugar below 70 or if your patient looks shaky or trembley the classic signs pale cool
Sweaty or even clammy give that patient some sugary candy the priority key terms again are the a’s and the esses if your patient is awake ask them to eat only sugary food here guys so soda juices crackers and low-fat milk not high fat milk or peanut butter guys fat will slow the sugar absorption here and if they’re sleeping then we stab them with ibd 50 sleeping
Means unresponsive or arousal responsive only to painful stimuli so don’t just go stabbed and sleeping diabetics here guys always assess the sugar and symptoms first and after you give sugar always reassess 15 minutes later we always follow up after any intervention always checking the sugar and the symptoms now the third rule insulin with no peaks and no mixes
It’s our long-acting dudes guys the memory trick is the old dudes like grumpy old men who have been here for a long time they’re past their peak and they never make well of others they’re basically antisocial so the keywords draw up in two separate syringes so remember d’etre mere lasts all year and glargine is large lasting atlantis is like a lantern it burns
All nights now number four here guys a big nclex favorite they’re gonna try and trick you so the iv only insulin is regular insulin so remember a memory trick here regular insulin is ready to go iv or regular is right in the vein not nph not lisp road not lantis guys no one except regular he’s the vip for the iv now number five we draw up insolent always clear
To cloudy guys just think you want clear days before you want cloudy ones so draw up regular insulin first the clear and then nph the cloudy seconds six we rotate locations every two or three weeks and the best location is always on the abdomen key words here near the umbilicus navel or bellybutton and guys we never aspirates basically never draw back on that
Plunger it’ll cause scar tissue and swelling and also we never massage or add heat after sub-q injections now lastly number seven dka the extreme high sugar condition and type 1 diabetes guys we have a separate video for that but here’s the big nclex question here do we give insulin on sick days what if the patient’s not eating or basically too nauseous to eat
Well yes we give insulin without food we just monitor that glucose closely so remember we always increase the insulin during the esses like stress like surgery sepsis or infection and even sickness and steroids now as far as insulin types who put sugar and potassium into the cells now these are must knows for the nclex specifically the peak times coming up 60%
Of the time and all endocrine questions and a little fyi for the nclex guys we’re not using brand names anymore only generic so no more novolog or knovel in if your school’s still using this then they’re behind all the times so again for reinforcements first group is the long acting guys our antisocial old dudes guys they have no peak and never mix with others
Big nclex keyword again draw up in separate syringes never mix these guys have no peaks so they require no plates or basically they’re not food dependent and hence they have a minimal risk for that hypo low sugar so the brain is pretty safe here again our memory trick here is d’etre mean last all year it’s long lasting and gle our gene is large lasting now nph
Are cloudy dude always being mixed so remember the ends intermediate insulin and we never give it iv drip or bag guys never put anything cloudy in an iv bag now when we do mix it always mix clear to cloudy clear days before cloudy so we usually give nph two times per day not four times a day so don’t let the nclex trick you now the peak time is between 4 and
12 hours but most dangerous in the middle around 5 to 6 hours so make sure you have a plate of food with that peak next is regular insulin that’s ready to go iv guys again he’s the only dude allowed iv push or iv bag if you haven’t wrote that down please write it down his peak is between 2 and 4 hours so monitor closely for signs of low sugar that shaky pale
Cool and clammy we need to give some sugary candy now finally our most deadly insolence they’re the number one priority since they have the number one fastest peak and onset 15 minute onset guys with a 30 to 90 minute peak so rapid acting insulin remember liz bro ask bart and glue the same so our memory tricks here for a sport you got to remember to move your
Ass parts guys it’s really fast and liz bro just think less pro less time for the onset it’s 15 minutes and glue the same it goes fast like a limousine it’s super fast so we give these during meals keyword here patient is eating or there’s food at the bedside again guys patient must be eating in 10 to 15 minutes not before the foods delivered usually an nclex
Question those peak times are the must snows for the nclex so i’d recommend printing this study guide out and reviewing it every day at the week of your exam now little insulin quiz we’re covering the top three most tested nclex questions on peak times here we go again peaks our priorities the fastest way to kill your patient is not giving a plate of food with
The peaks so remember peaks require plates so we drew a little plate on the flag showing the peak time now our red rapid guides are the most deadly always monitor for hypoglycemia that low sugar below 70 you’re gonna see shaky sweaty pale and clammy so we give that patient some sweet juice soda or candy okay question number 1 the nurse gives regular insulin at
12 p.m. for lunch but the patient doesn’t finish their food so when’s the greatest risk for that hypoglycemia guys the risk for regular look at the peaks right here 2 to 4 hours so if given at 12 the answers between 2 p.m. and 4 p.m. never before and not after so guys memorize these peak times now question number 2 a client is on a sport insulin when should the
Nurse advise him to eat again guys this is an onset of 15 minutes with the peak time between 30 to 90 minutes so as far guessed your ass parts moving the best answer is the soonest so eating within 10 or 15 minutes now question number 3 the client on glargine is asking the nurse when is the best time to eat during this insulin well guys glargine is large lasting
Long-acting no peaks so no peaks require no plates pretty tricky one there now for a little bonus question we saw this a few times in our nclex review so the client taking insulin nph with dinner at 7 p.m. what time is the client most at risk for that hypo low sugar so nph has a 4 to 12 hour peak the most at-risk guys were looking at the green peak here 5.5 to 6
Hours has the most peak so the best here is midnight or shortly after now before we move on to the insulin infusion pump guys the best way to memorize these insulin peak times is to print off the study guide or a cheat sheet we provide and guys write this out at least 7 to 15 times the week of your exam now for insulin pumps or csi i the continuous subcutaneous
Insulin infusion guys the number one benefit is the steady dose of insulin for our type 1 kids who forget to take their insulin and are basically non-compliant the biggest benefit and the coolest part here is we have fewer swings in blood sugar level so not high or not low anymore guys it’s a nice even basal rate that’s a big key word even basal rate now how do
You manage it well we usually check the blood sugar four times per day and you push key word there push and insulin bolus button at meal times to get that sugar into the cell now what if you get an nclex question about a machine malfunctioning guys what do you do do you assess the patient or do you assess the machine first hmm well we always assess the patient
First and then machines second now that’s really big on the nclor thanks for watching for our full video and new quiz bank click right up here to access your free trial and please consider subscribing to our youtube channel last but not least a big thanks to our team of experts helping us make these great videos alright guys see you next time you
Transcribed from video
Pharmacology for Nursing – Diabetic drugs Insulin Types & Memory Tricks (Peak, Onset, & Duration) RN By Simple Nursing
