1. Regular Insulin first. NPH insulin second.

Do not forget to draw up the regular insulin first and then draw up the NPH insulin.

WHY?

It’s essential to prevent contamination of the regular insulin with the NPH insulin.

Drawing Insulin
Draw the reguar before the NPH

2. Long acting

Lantus and Levemir are released slowly over an extended time. Do not mix with any other insulin.

WHY?

This will cause a hypoglycemic reaction.

Long acting insulin
Don’t ever mix long acting with other insulins.

3. Signs and symptoms of hyperglycemia

Headache
Nausea
Vomiting
Coma
Dry skin
Glucose and acetone in urine

Signs and symptoms of hyperglycemia
Signs and symptoms of hyperglycemia

4. Signs and symptoms of hypoglycemia

Headache
Irritability
Disorientation
Nausea
Vomiting
Sweating
Weakness
Coma
Death

Signs and symptoms of hypoglycemia
Signs and symptoms of hypoglycemia

5. Hot and dry – blood sugar high

If the patient’s skin is hot and he’s feeling dehydrated, he’s hyperglycemic.

Cold and clammy – need some candy

If the patient’s skin is cold and clammy, he’s hypoglycemia and needs a source of glucose.

Blood sugar
Hot and dry – sugar high.
Cold and clammy – need some candy!

 

6. Glucagon

Glucagon is an injectable hormone that is used to treat extremely low blood sugar.

Glucagon
Glucagon is used to treat hypoglycemia.

Insulin Effectiveness By Type

H/T: Bloopz.Tumblr.com

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