Pharmacology Diabetes meds #9

Question

The nurse is alerted that dietary trays are going to be late to the patient rooms at 0800 instead of 0730. The nurse plans to administer insulin aspart at 0800. What time should the nurse provide the morning meal?

Answers

  1. 750
    • Rationale:

      This answer is not correct because the patient will likely experience hyperglycemia before the insulin is administered if the meal is provided ten minutes before administration of insulin aspart. Insulin aspart is an insulin with onset of action of 5 to 15 minutes.

  2. 805
    • Rationale:

      This answer is correct because insulin aspart is an insulin with onset of action of 5 to 15 minutes. If a patient is receiving insulin aspart, the meal should be given within 5 minutes so the patient will not experience hypoglycemia. Essentially, the meal should be sitting in front of the patient when the nurse administers the insulin aspart to assure availability of food. Otherwise, the nurse should provide a snack if the meal is delayed to make sure the patient does not experience hypoglycemia.

  3. 830
    • Rationale:

      This answer is not correct because if a patient receives their meal 30 minutes after administration of insulin, the patient will experience hypoglycemia. The meal should be given within 5 minutes so the patient will not experience hypoglycemia. Otherwise, the nurse should provide a snack if the meal is delayed to make sure the patient does not experience hypoglycemia.

  4. 840
    • Rationale:

      This answer is not correct because if a patient receives their meal 40 minutes after administration of insulin, the patient will experience hypoglycemia. The meal should be given within 5 minutes so the patient will not experience hypoglycemia. Otherwise, the nurse should provide a snack if the meal is delayed to make sure the patient does not experience hypoglycemia.

Overview

Insulin aspart is a rapid acting insulin (5 to 15 minutes). Therefore, it would be wise to provide a patient’s meal within 5 minutes of the administration of this insulin.

Explanation

Novolog insulin should be followed by a meal within 5-10 minutes because Novolog is rapid acting insulin. If the insulin is administered at 0800, then food should be available within 5-10 minutes.

Learning Outcomes

Insulin aspart is an insulin with onset of action of 5 to 15 minutes. The peak effect occurs in 1 to 2 hours and the duration of action lasts 4-6 hours. If a patient is receiving insulin aspart, the meal should be given within 5 minutes so the patient will not experience hypoglycemia. Essentially, the meal should be sitting in front of the patient when the nurse administers the insulin aspart to assure availability of food. Otherwise, the nurse should provide a snack if the meal is delayed to make sure the patient does not experience hypoglycemia.

Test Taking Tip

To make sure you remember basic signs and symptoms of hypoglycemia and hyperglycemia: remember the sayings of “Cold and clammy, give some candy” (hypoglycemia) and “Warm and dry, sugar high” (hyperglycemia).

Video Rationale