Insulin glargine is prescribed for a hospitalized patient who is ...

[ap345]

Insulin glargine is prescribed for a hospitalized patient who is diabetic. When will the nurse administer this drug?
 
  a. Approximately 15 to 30 minutes before each meal
  b. In the morning and at 4 PM
  c. Once daily at bedtime
  d. After meals and at bedtime

Question 2

A patient with type 1 diabetes reports mixing NPH and insulin to allow for one injection. The nurse should inform the patient that
 
  a. this is an acceptable practice.
  b. these two forms of insulin are not compatible and cannot be mixed.
  c. mixing these two forms of insulin may increase the overall potency of the products.
  d. the short-acting agent should be switched to Ultralente if agents are mixed.

[Meganchabluk]

Answer to Question 1

ANS: C
Glargine insulin is indicated for once daily subcutaneous administration to treat adults and children with type 1 diabetes and adults with type 2 diabetes. According to the package labeling, the once daily injection should be given at bedtime.
Glargine insulin should not be given more than once a day, therefore the other answer options are not correct.

Answer to Question 2

ANS: A
NPH insulin is the only insulin suitable for mixing with short-acting insulins, such as insulin aspart (NovoLog).
These insulins are compatible and are mixed frequently for management of diabetics.
The overall potency of each insulin is not increased by mixing them together.
Ultralente is not used any longer in the United States.

[ap345]

Wow, this really help

[tranoy]

Thanks for the timely response, appreciate it