- Regular Insulin first. NPH insulin second.
Do not forget to draw up the regular insulin first and then draw up the NPH insulin.
WHY?
It’s essential to prevent contamination of the regular insulin with the NPH insulin.
2. Long acting
Lantus and Levemir are released slowly over an extended time. Do not mix with any other insulin.
WHY?
This will cause a hypoglycemic reaction.
3. Signs and symptoms of hyperglycemia
Headache
Nausea
Vomiting
Coma
Dry skin
Glucose and acetone in urine
4. Signs and symptoms of hypoglycemia
Headache
Irritability
Disorientation
Nausea
Vomiting
Sweating
Weakness
Coma
Death
5. Hot and dry – blood sugar high
If the patient’s skin is hot and he’s feeling dehydrated, he’s hyperglycemic.
Cold and clammy – need some candy
If the patient’s skin is cold and clammy, he’s hypoglycemia and needs a source of glucose.
6. Glucagon
Glucagon is an injectable hormone that is used to treat extremely low blood sugar.
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