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Need to know

medications for NCLEX VIII


INSULINS
Types of Insulins Names
• blood glucose by transporting glucose into cells
• promoting conversion of glucose to glycogen Insulin Lispro-Humalog
• inhibiting the liver from changing glycogen to glucose Rapid-Acting
Insulin Aspart-Novolog

Regular Insulin-Humulin R
• Regular insulin is the
LONG ACTING NPH REGULAR RAPID
Short-Acting only one given IV
• Concentrated
NO Peak iNtermediate Ready to go IV Aspart/Lispro/
NO Mix NEVER IV DRIP Regular goes Glulisine insulin-Insulin U-500
• Detemir or IV Bag right into the
• Glargine Mix clear to vein
• Levemir = cloudy ONLY IV insulin Intermediate-Acting NPH-Humulin N, Novolin R
Long acting Give 2x per day

Insulin Glargine-Lantus
• Cannot mix with
PEAK Long-Acting
30-9- minute
others
PEAK 15 minute Insulin Detemir-Levemir
2-4 hour ONSET
PEAK
4-12 hour MOST DEADLY NPH/REG
NO PEAK
• Humulin 50/50
• Humulin 70/30
Premixed • Novolin 70/30
Aspart
protamine/aspart
• Novolog Mix 70/30
Lispro protamine/lispro
• Humalog Mix 75/25

Names Onset Peak Duration

Lispro
5m 60-90min 4-6h
(Humalog)
Aspart
10-20m 1-3h 3-5h
(Novolog)
Regular SQ: 30-60m SQ: 2-4h SQ: 5-7h
(Humulin R) IV: 10-30m IV: 15-30m IV: 30-60m

U-500 2-3h 5-7h

NPH
(Humulin N, Novolin R)
8-12h 18-24h

Glargine
None 24h
(Lantus)
Detemir
3-14h 24h
(Levemir)

NPH
(Humulin 50/50,
4-8h 24h
Humulin 70/30,
Novolin 70/30)

Apart
Protamine/aspart 1-4h 24h
(Novolog mix 70/30)

Lispro
Protamine/lispro 2.8h 24h
(Humalog mix 75/25)

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