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    Rapid-acting insulins like insulin glulisine, insulin aspart, and insulin lispro have onsets of action within 15-30 minutes, peak effects within 1-1.5 hours, and durations of action of 3-4 hours. They are administered via subcutaneous injection typically 15 minutes before meals. Common side effects include hypoglycemia, injection site reactions, and possible increased cancer risk. Fasting blood glucose and A1C levels should be regularly monitored and insulin doses adjusted based on blood sugar levels and nutritional intake to safely manage diabetes.

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    Card 1

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    naless
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    Rapid-acting insulins like insulin glulisine, insulin aspart, and insulin lispro have onsets of action within 15-30 minutes, peak effects within 1-1.5 hours, and durations of action of 3-4 hours. They are administered via subcutaneous injection typically 15 minutes before meals. Common side effects include hypoglycemia, injection site reactions, and possible increased cancer risk. Fasting blood glucose and A1C levels should be regularly monitored and insulin doses adjusted based on blood sugar levels and nutritional intake to safely manage diabetes.

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    Rapid-acting insulins like insulin glulisine, insulin aspart, and insulin lispro have onsets of action within 15-30 minutes, peak effects within 1-1.5 hours, and durations of action of 3-4 hours. They are administered via subcutaneous injection typically 15 minutes before meals. Common side effects include hypoglycemia, injection site reactions, and possible increased cancer risk. Fasting blood glucose and A1C levels should be regularly monitored and insulin doses adjusted based on blood sugar levels and nutritional intake to safely manage diabetes.

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    Download as PDF, TXT or read online from Scribd
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    95 views2 pages

    Card 1

    Uploaded by

    naless
    Rapid-acting insulins like insulin glulisine, insulin aspart, and insulin lispro have onsets of action within 15-30 minutes, peak effects within 1-1.5 hours, and durations of action of 3-4 hours. They are administered via subcutaneous injection typically 15 minutes before meals. Common side effects include hypoglycemia, injection site reactions, and possible increased cancer risk. Fasting blood glucose and A1C levels should be regularly monitored and insulin doses adjusted based on blood sugar levels and nutritional intake to safely manage diabetes.

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    of 2

    Rapid Acting INSULINS

    ( )
    insulin glulisine (Apidra) insulin aspart (Novolog, Novolog Flexpen, Novolog Pen Fill) insulin lispro (Humalog)

    not provided. Excretion: Data not provid- INTERACTIONS


    Pharmacologic class: antidiabetic, pan- ed.
    creatic hormone. Therapeutic class: de- CONTRAINDICATIONS & PRECAU-
    crease in polyuria, polyphagia, stable gait, Route
    insulin
    Onset
    15-30 min
    Peak Duration
    1/2-11/2 hour3-4 hr
    TIONS
    abscence of dizziness. Pregnancy risk cat- glulisine ■ Hypersensitivity to protamine, creosol
    egory: C. insulin as- 10-20 min 1-3 hour 3-5 hr (aspart).
    ■ Pregnancy (B)lispro, aspart (C) all oth-
    part
    insulin 15-30 min 1/2 - 11/2 3-4 hr ers.
    HOW SUPPLIED
    lispro hour
    insulin aspart over 6 yr intermittent
    subcut: max 2-4 inj/day prior to meal PHARMACODYNAMICS
    50-75% rest intermediate or long acting.
    insulin aspart continuous (pump): in- decreases blood glucose, indirectly in-
    sulin dose based on previous regiment. creases blood pyruvate and lactate, de-
    insulin lispro subcut: 15 min before creases phosphate and potassium.
    meals.
    insulin glulisine over 4yr subcut: indi-
    INDICATIONS & DOSAGE
    vidualized dose 15min before meal or 20
    min after starting meal.
    insulin glulisine adult IV: dilute to 1 ADVERSE REACTIONS
    unit/mL in inf system with 0.9% NaCl EENT: blurred vision, dry mount. SKIN:
    dedicated line. flushing, red, warmth, swelling. META:
    hypoglycemia, rebound hyperglycemia.
    OTHER: peripheral edema. SYSTEM:
    PHARMACOKINETICS anaphylaxis, possible cancer risk.
    Absorption: Data not provided. Distribu-
    tion: Data not provided. Metabolism: Data
    Assessment

    ■ fasting blood glucose


    ■ A1c may be drawn to indentify treatment
    effectivness every 3 months
    ■ urine ketones during illness

    ■ insulin requirements may increase dur-

    ing stress, illness, surgery


    ■ For hypoglycemic reaction that can oc-

    cur during peak time (sweating, weakness,


    dizziness, chills, confusion, headache, nau-
    sea, rapid weak pulse, fatigue, tacycardia,
    memory lapse, slurred speech, staggering
    gait, anxiety, tremors, hunger)
    ■ For hyperglycemia (acetone breath,

    polyriea, fatigue, polydipsia, flushed, dry


    skin, lethargy)
    Nursing Diagnosis
    Data not provided.
    Planning & Implementation
    Data not provided.
    Patient Teaching
    Data not provided.
    Evaluation
    Data not provided.

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