Provide the time of day the nurse might expect to see the patient to become hypoglycemic...

Provide the time of day the nurse might expect to see the patient to become hypoglycemic (peak of the dose) when receiving the following insulin (Pg 638)

Rapid onset insulin (insulin aspart) 10 unit given at 8am

1000 0830 1200 1600 low risk of experiencing hypoglycemia

Regular insulin (Humulin R) 10 units given at 8am

0900 1130 1300 1500 low risk of experiencing hypoglycemia

Intermediate insulin (Humulin N or NPH) 25 units given at 8am

0900 1130 1300 1600 low risk of experiencing hypoglycemia

Long acting insulin (insulin glargine or insulin detemir)

0830 1030 1600 2000 low risk if experiencing hypoglycemia

Expert Solution

Ans :

Type of Insulin	Onset	Peak	Duration	Time of Peak Action
Rapid Acting	5-15 mins	1-2 hr.	4-6hr.	1000
Regular	½-1 hr.	2-4 hr.	6-8 hr.	1130
Intermediate-acting	1-2 hr.	4-6 hr.	12+ hr.	1300
Long-acting	1.5-2 hr.	Flat, Max effect in 5 hrs.	12-24 hr.	1600(Expectting time of adminstration at 8 am as the administartion time is not mentioned in the questian )

Insulin Aspart- it is a rapid acting insulin which have an onset of action of 5 to 15 minutes, peak effect in 1 to 2 hours and duration of action that lasts 4-6 hours.

Regular Human Insulin which has an onset of action of 1/2 hour to 1 hour, peak effect in 2 to 4 hours, and duration of action of 6 to 8 hours.

Intermediate acting which has an onset of insulin effect of 1 to 2 hours, a peak effect of 4 to 6 hours, and duration of action of more than 12 hours.

Long acting analouge which have an onset of insulin effect in 1 1/2-2 hours. The insulin effect plateaus over the next few hours and is followed by a relatively flat duration of action that lasts 12-24 hours for insulin detemir and 24 hours for insulin glargine.

Nightingale answered 2 years ago

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