Pik Insulin nan Yon Sèl Imaj

🧠 Poukisa sa enpòtan

RAPID (lispro, aspart): kòmansman 15 minit, pik anviwon 1 rive 3 èdtan, dire 3 rive 5 èdtan; bay li ak yon repa a pòte men. REGULAR: kòmansman 30 rive 60 minit, pik 2 rive 4 èdtan, dire 5 rive 8 èdtan; insulin estanda pou enfizyon IV yo. NPH: kòmansman 1 rive 2 èdtan, pik 4 rive 12 èdtan, dire 12 rive 18 èdtan; li twoub, tire sa ki klè a anvan sa ki twoub la. GLARGINE ak DEGLUDEC: pa gen vrè pik, 24 èdtan oswa plis; pa janm melanje yo. Ipoglisemi anba 70: si pasyan an alèt epi li kapab vale, bay 15 gram kaboidrat rapid epi retcheke nan 15 minit; si pasyan an pa ka vale san danje oswa li pa reponn, bay glucagon (IM, subcutaneous oswa intranasal) oswa dextrose IV selon pwotokòl.

RAPID (lispro, aspart): onset 15 minutes, peak about 1 to 3 hours, lasts 3 to 5 hours; give with a meal in reach. REGULAR: onset 30 to 60 minutes, peak 2 to 4 hours, lasts 5 to 8 hours; the standard insulin for IV infusions. NPH: onset 1 to 2 hours, peak 4 to 12 hours, lasts 12 to 18 hours; cloudy, draw clear before cloudy. GLARGINE and DEGLUDEC: no real peak, 24 hours or longer; never mixed. Hypoglycemia under 70: if the client is alert and able to swallow, give 15 grams of fast carbohydrate and recheck in 15 minutes; if the client cannot swallow safely or is unresponsive, give glucagon (IM, subcutaneous or intranasal) or IV dextrose per protocol.

🏥 Nan lavi reyèl

🥪 Yon enfimyè bay NPH a 0800. Pasyan an dòmi pase lè manje midi a. A 1400 li swe epi li konfi. Enfimyè ki te konnen fenèt pik la te deja bò kabann nan ak ji, ak glucagon nan ka li pa t ka vale. Enfimyè ki pa t konnen an aprann sa nan men ekip repons rapid la.

🥪 A nurse gives NPH at 0800. The client sleeps through lunch. At 1400 he is sweaty and confused. The nurse who knew the peak window was already at the bedside with juice, and glucagon in case he could not swallow. The nurse who did not finds out from the rapid response team.

📌 Sa pou retni

• Regular se insulin IV estanda a; sa ki aji rapid la bezwen manje a pòte menRegular is the standard IV insulin; rapid-acting needs food in reach
• Sa ki klè (regular) anvan sa ki twoub (NPH); yo pa janm melanje glargineClear (regular) before cloudy (NPH); glargine is never mixed
• Ipoglisemi: si li alèt epi li kapab vale, 15 gram kaboidrat rapid epi retcheke nan 15 minit; si se pa sa, glucagon oswa dextrose IVHypoglycemia: if alert and able to swallow, 15 grams of fast carbohydrate and recheck in 15 minutes; if not, glucagon or IV dextrose

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