Insulin, Regular (humulin R)

INDEX Generic Name

Trade Name

insulin, regular

Humulin R

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency antidiabetics 0.5-1 unit Subcut per kg/day in divided doses hormones (maintenance)

Peak Onset 2-4 hours 30-60 minutes Why is your patient taking this medication?

Duration 5-7 hours

For IV meds, compatability with IV drips and/or solutions

Mechanism of action and indications Management of diabetes mellitus Concentrated regular insulin U-500: Only for use in patients with insuling requirements >200 units/day Treatment of hyperkalemia

Nursing Implications (what to focus on) Contraindications/warnings/interactions Allergy to preservatives or other additives. Use cautiously in: stress, pregnancy, and infection (may temporarily increase insulin requirements)

Control of blood glucose in diabetic patients

Common side effects allergic reactions.

Hypoglycemia, lipodystrophy, pruritus, rash,

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine medicines (ask patient specifically) Beta blockers; Thiazide diuretics; corticosteroids; acetazolamide; morphine; diltiazem; dobutamine; thyroid preparations; estrogens; nicotine; pretease inhibitor Be sure to teach the patient the following about this medication antiretrovirals; alcohol (chronic use); rifampin; anabolic Administer 15-30 min before meals; proper technique for administration; steroids (testosterone); clofibrate; MAOIs; NSAIDS; oral rotation of sites; opened vials dicarded 1 month after opening; rolling vial rather hypoglycemic agents; sulfinpyrazone; tetracyclines; than shaking; proper testing of glucose levels; exercise; diet; alcohol use; phenylbutazone; ACE inhibitors; sulfonamides; warfarin; drug interactions; signs and symptoms of hypoglycemia and hyperglycemia; Glucosamine; Fenugreek; chronium; coenayme Q-10. pregnancy; carry a source of sugar; ID braclet; Regular doctor follow-ups. Nursing Process - Assessment Assessment Evaluation (Pre-administration assessment Why would you hold or not give Check after giving Take vitals; symptoms of hypoglycemia and this med? Control of blood glucose levels without the hyperglycemia. hypoglycemia appearance of hypoglycemic or hyperglycemic Monitor body weight periodically episodes