Drug Card - NPH Insulin PDF

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Download Drug Card - NPH Insulin PDF

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DRUG CARD FORMAT Student’s Name: Ruby Marteja

Date: 2/12/2021

Generic Name:

Isophane Insulin suspension (NPH) (intermediate-acting)

Trade Name: Black Box Warning: Drug Classification:

HumuLIN N, HumuLIN N KwikPen, NovoLIN N None Antidiabetics/Insulins

Indication: (What disease/illness)

Patients with Type I and Type II diabetes that cannot be properly controlled by diet, exercise, and weight control

Mechanism of Action: (How does it do its job)

Lowers blood glucose level by stimulating peripheral glucose uptake by binding to insulin receptors on skeletal muscle and in fat cells and by inhibiting hepatic glucose production; also inhibits lipolysis and proteolysis and enhances protein synthesis.

Normal Dose Range: (Adult & Gero)

Adults and children age 12 and older: Usual dosage is 0.5 to 1 unit/kg/day, often given in two divided doses to provide a more constant level of basal insulin.

Onset/Peak/Duration:

Subcut: Onset 1 – 1 ½ / Peak 4-12hr / Duration up to 24hr

*Pre-administration Assessment Data:

Check glucose levels. Assess for S&S of hypoglycemia and hyperglycemia. Monitor body weight

Side effects:

Urticaria, lipodystrophy, itching, Lipohypertrophy, redness and swelling.

Adverse effects:

Hypoglycemia and Anaphylaxis

Contraindications:

Allergy or hypersensitivity to a particular type of insulin, preservatives, or other additives. Patients susceptible to hypokalemia. During episodes of hypoglycemia or ketoacidosis.

Post-Administration Assessment Data:

Monitor for S&S of hyper/hypoglycemia, check glucose levels, potassium levels (hyperkalemia), diet (food intake)

Patient Education:

Instruct patient on S&S of hypoglycemia and hyperglycemia and what to do if they occur. Self-management, glucose management, injection technique, proper storage of insulin, Eat within 30min of injecting short-acting insulin. Only use syringes calibrated for their concentration of insulin. Not to share multidose pen with other people, even if the needle is changed.

Antidote: (if applicable)

Oral glucagon for mild hypoglycemia. IV glucose, glucagon, or epinephrine for more severe cases.

References “Insulin (NPH)”. (2019). In Lippincott Advisor. Retrieved from https:/advisor-edu.lww.com. Vallerand, A.H. & Sanoski, C. A. (2019). Davis’s Drug Guide for Nurses (16 th ed.). F.A. Davis Company. EdD Rn, Z. J. M. (2019). Mosby’s Pharmacology Memory NoteCards: Visual, Mnemonic, and Memory Aids for Nurses (5th ed.). Mosby....