Cathy Parkes. Share to Twitter. Share to Facebook. Share to Pinterest. Share to Email. A cultural assessment involves the identification of a patient's cultural and spiritual beliefs, practices, and preferences regarding medical interventions, illness, family, diet, pregnancy, death, and postmortem care.
This insulin does not act as quickly as Humalog or Novolog. Regular insulin is a clear, colorless liquid that begins to work 30 minutes after injection and peaks at hours after injection. It lasts hours in the body. Regular insulin is usually given 30 minutes before a meal. It can also be mixed in the same syringe with longer-acting NPH insulin or given separately immediately after each other. Regular insulin is the most stable of all the different types of insulin.
Unopened regular insulin is best refrigerated. If you are mixing Regular with a longer-acting insulin, always draw up the Regular insulin first to maintain the purity and clarity of the Regular solution. Intermediate-acting insulins are cloudy suspensions of crystalline insulin that need to be gently rotated between the hands before being used.
They begin to work 1 hour after injection and peak at hours after injection. They last for hours in the body. Intermediate insulins are often given before breakfast or they may also be given at bedtime, depending on your blood glucose reading.
They can be mixed in the same syringe with Regular, Lispro, and Aspart insulins. Ultralente insulin is long-acting insulin. Ultralente insulin is a cloudy suspension that begins to work hours after injection and peaks at about 12 hours. They last for around hours in the body.
It can be mixed in the same syringe with regular insulin and when unopened, it is best stored in the refrigerator. Another long-acting insulin is called Glargine insulin.
Short-acting insulins take effect and wear off more quickly than long-acting insulins. A short-acting insulin is often used 30 minutes before a meal so that it has time to work. These liquid insulins are clear and do not settle out when the bottle vial sits for a while. Intermediate-acting insulins contain added substances buffers that make them work over a long time and that may make them look cloudy.
When these types of insulin sit for even a few minutes, the buffered insulin settles to the bottom of the vial. Mixtures of insulin can sometimes be combined in the same syringe, for example, intermediate-acting and rapid- or short-acting insulin. Not all insulins can be mixed together. For convenience, there are premixed rapid- and intermediate-acting insulin.
The insulin will start to work as quickly as the fastest-acting insulin in the combination. It will peak when each type of insulin typically peaks, and it will last as long as the longest-acting insulin.
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