Ordered: an insulin mixHumulin R 4 units, subcut AM and PM; ...

[cnetterville]

Ordered: an insulin mixHumulin R 4 units, subcut AM and PM; Humulin N 26 units, 30 minutes before meals
 
  a. Is Humulin N a rapid-, intermediate-, or long-acting insulin?
  b. Which type of insulin should the nurse withdraw first for the mix: Humulin R or Humulin N? State the reason for this decision.
  c. Mark the total dose. Indicate the Humulin R and Humulin N doses with arrows.

Question 2

Ordered: NovoLog 6 units subcut tid ac daily
 
  a. Mark the dose on the syringe.
 b. Is this a rapid-, intermediate-, or long-acting insulin?
  c. Which types of patients particularly benefit from use of this type of syringe?

[Jsherida]

Answer to Question 1

a. Intermediate
b. The short/rapid acting Humulin R must be withdrawn first to protect it from contamination with a longer acting insulin. Contamination could change the action of the regular insulin.
c. First arrow shows 4 units drawn to Humulin R, total dose shown with second arrow at 30 units when Humulin N dose is added.

Answer to Question 2

a.

b. Rapid
c. Patients with impaired vision benefit from using this syringe. Doses can be read more easily.