Diabetic Medications Essay

3493 words - 14 pages

Isophane (NPH) (Humulin N) (Novolin N) (ReliOn N)

Lispro (Humalog)

Aspart (Novolog)

Detemir (Levemir)

Glargine (Lantus)(Lantus SoloStar)

Glulisine (Apidra)

Regular (Humulin R)(Novolin R)(Regular insulin)(Velosulin)

Glimepiride (Amaryl)

Glipizide (Glucotrol)

(Glucotrol XL)

Glyburide (DiaBeta) (Glynase)

Pioglitazone Hydrochloride (Actos)

Dosing: IV or SC Dose: Available in 100 NPH units/mL SC vials. Also available in combination with regular insulin in 50/50 and 70/30 proportion. ADULTS: TYPE II diabetes: 10 units/day SC at same time each day. Typical insulin dose is .5 -1.0 units/kg/day. Administered SC. PEDS: SC qd/bid. Individualized dose depending on patient. Adolescents may require higher doses. Decrease dose in renal or hepatic impairment. Is a short acting insulin needs to be given 30-60 min before meals or bedtime. Onset 1-2 hrs. peak of 4-14 hours

Dosing: SC or IV. ADULTS: Usual insulin dose .5 – 1.0 units/kg/day PEDS: Usual insulin dose .5 – 1.0 units/kg/day Administered <15 min. before or immediately after meals. SC or via insulin pump. IV in clinical setting only. The dose needs to be adjusted in renal or hepatic impairment. Is a fast acting medication and should be taken within 15 minutes of eating and immediately after mixing. SC onset is <30 minutes, peak 30-90 minutes. Should include longer acting insulin for type I or oral dose for type II
Dosage Form: SC ADULTS: Normal insulin requirement is .5 – 1.0 units/kg/day. PEDS: older than 2 y.o. Need an individualized dose SC. Give this medication <15 minutes before a meal or via SC insulin pump. Dosing may need to be adjusted for renal or hepatic impairment Onset is less than 15 minutes, peak 1-3 hours. If using medication SC, a longer acting insulin for type I or oral for type II. It may me mixed with NPH insulin in syringe

Dosage form: SC: TYPE I ADULTS: use with short –acting or rapid insulin. Start with 0.1-0.2 units/kg SC qpm or with 10 units SC qd-bid for insulin naive patients with Type II diabetes. PEDS: Over 2 years old. Dosing is individualized SC. Typical insulin requirement is 0.5-1 units/kg/day. Dose may need to be decreased in renal or hepatic impairment. Onset is 1 hour, there is no true peak and duration lasts 6-23 hours. Patients with type II may are advised to use this medication with oral or rapid, short-acting insulin. Should not mix Detemir with other insulin in same syringe.
Dosage form: SC ADULT Dose: TYPE I ADULT: individualized dose per patient. Usual insulin dose is .5 – 1.0 units/kg/day. TYPE II ADULT: Begin with 10 units SC qhs, then increase by one unit/day until FPG reached <100 mg/dL. May be used with oral or rapid/short acting insulin PEDS: 6 years and older individualized dose SC Use with rapid or short-acting insulin. Onset one hour, there is no true peak,...

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