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QUESTION What must a QMA do before administering insulin at a facility? Answer: Be supervised by an RN for competency QUESTION When there is not enough glucose in the cells to use for energy, the body will break down proteins to use for fuel. If there is no insulin available, the body will not be able to use sufficient amounts of protein for tissue growth and repair. This generally causes . Answer: Delayed wound healing & Weight loss QUESTION When blood sugar levels are too low and the body needs energy, glucagon is released and this signals the liver to? Answer: Break down glycogen stores QUESTION Which of the following is long acting insulin? Answer: Lantus
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What must a QMA do before administering insulin at a facility? Answer: Be supervised by an RN for competency
When there is not enough glucose in the cells to use for energy, the body will break down proteins to use for fuel. If there is no insulin available, the body will not be able to use sufficient amounts of protein for tissue growth and repair. This generally causes. Answer: Delayed wound healing & Weight loss
When blood sugar levels are too low and the body needs energy, glucagon is released and this signals the liver to? Answer: Break down glycogen stores
Which of the following is long acting insulin? Answer: Lantus
Which of the following is RAPID acting insulin? Answer: HumaLOG NovLOG
Which insulin is cloudy? Answer: Novolin N
Your diabetic patient complains of headache, is extra moody, and keeps dropping things. What should the QMA suspect? Answer: HYPOglycemia
During care of your diabetic patient you notice she is warm & flushed, but is not sweating. She smells sweet. What should you suspect? Answer: HYPERglycemia
Which of the following is true regarding injection via insulin pen? BEFORE USE? ANGLE? INSERTED how many seconds?
When inspecting the vial of Humalog for a resident, the following should stop the QMA from administering it Answer: Cloudy appearance 60 days since it was opened
polydipsia Answer: Frequent /unusual thirst
polyURIa Answer: excessive URInation
polypHagia Answer: Frequent/ extreme Hunger
The most common, chronic childhood disease. All people with require insulin as their pancreas does not produce any of the hormone. Most diabetics are diagnosed in childhood or early adulthood.
Answer: type 1
This form of diabetes produces insulin, but the body does not use it effectively. This is also known as insulin resistance Answer: type 2
Frequent /unusual thirst (polydipsia) Frequent urination (polyuria) Frequent/ extreme hunger (polyphagia) Unusual weight loss Blurred vision Fruity odor to breath Extreme fatigue Irritability Answer: Signs & Symptoms of Hyperglycemia - high levels of glucose
In an effort to pull itself out of the hypoglycemic state, the endocrine system will release hormone. Answer: epinephrine (adrenaline), the "fight-or-flight"
Answer: Intermediate acting
It should be taken 30 - 45 minutes prior to eating. It is mostly gone from the body after a few hours. Answer: Regular (short-acting)
it should be taken just before or just after eating. It is mostly gone from the body after a few hours. Answer: Rapid-acting
Hemoglobin A (HbA) or HbA1C NORMAL RANGE Answer: Normal 3.8-6.4%
Normal blood glucose level Answer: 70 - 110 mg/dL
The QMA cannot apply, remove or change the Sensor TRUE OR FALSE Answer: TRUE
The Islets of Langerhans are Answer: clusters of cells throughout the pancreas that produce insulin and glucagon
The purpose of insulin is to Answer: carry GLUCOSE from the bloodstream into the cells for use as energy and fuel
When there are too many ketones circulating in the blood Answer: ketoacidosis
Insulin is also important in utilization by the body Answer: protein
If your resident is unable to swallow, combative, or unconscious the first thing the QMA should do is Answer: CALL 911 FIRST
The resident is ALERT/AWAKE and blood glucose level is below or above a specific level. What is the first thing the QMA should do? Answer: Follow the facilities policy/procedure related to insulin administration
Your resident is OBSERVED or VERBALIZED s/s of hyperglycemia/hypoglycemia, the first action from the QMA should be Answer: Take the residents blood glucose level
Mrs. Smith has a blood glucose level of 40 is awake and alert the QMA should Answer: Notify the nurse
What kind of Insulin starts to act in 2- 4 hrs after injecting, and has a peak lasting 4-10hrs? Answer:
Novolin N
What do the Islets of Langerhans do? Answer: Secrete insulin and glucagon from the pancreas
In what ways do ORAL hypoglycemic medications work? Answer: Delays the absorption of carbohydrates in the diet
Where is glucagon secreted from? Answer: pancreas
Your patient has a Free Style Libre. The QMA can Answer: Use the reader device to obtain glucose readings.
increases insulin sensitivity, improves glucose tolerance and promotes weight control.
Humulin R, Novolin R Answer: Regular insulin
Lantus, Levemir Answer: Long acting insulin
Humulin N, Novolin NPH Answer: intermediate acting insulin
Humulin N Novolin N cloudy or clear? Answer: CLOUDY
Most common injection sites are the? Answer: abdomen, outer thighs, back of arms and buttock
There are three primary parts of a syringe Answer: 1 the HUB that attaches to the needle 2 the BARREL that contains the MEASURMENT MARKS and 3 the PLUNGER that is used to withdraw and inject the medication.
discard vial after? Answer: 28 DAYS
discard pen after? Answer: Discard 7 - 28 days (Check pen manufacturer instructions)
Read the specific instructions from the manufacturer for the PEN that will be used prior to? Answer: to administration.
A type of cell in the pancreas that produces and releases insulin
Answer: TRUE
Blood glucose levels need to be checked more frequently when sick, since the body will require more energy during an illness. TRUE OR FALSE Answer: TRUE
indigestion, nausea, vomiting, gastroparesis, bowel/bladder dysfunction, sexual dysfunction, abnormal response to blood pressure, heart, lung, eye problems. Answer: Autonomic neuropathy
pain or weakness in the thighs, hips, buttocks, or legs. Answer: Proximal neuropathy
sudden weakness or pain in any nerve in the body including those that go to the eyes, muscles of the face, ears, pelvis and lower back, chest, abdomen, thighs, legs, and feet Answer: Focal neuropathy
numbness, tingling or pain in the toes, feet, legs, hands, arms, wasting of the muscles of the feet and hands. Answer: Peripheral neuropathy
Insulin is measured by the and requires a special syringe for administration Answer: UNIT
Important Insulin Storage Answer: Do not keep in hot place Do not freeze - Discard frozen or thawed insulin Do not store in sunlight Never use expired insulin Discard opened insulin vial after 28 days (write discard date on vial) - can be stored at room temperature
is the amount of time during which the medication lasts in the body. Answer: Duration
refers to the time when the medication reaches its greatest effectiveness
It is important to understand that the person given scheduled insulin must eat at Answer: scheduled times.
Prior to administering insulin at a licensed health facility the QMA shall Answer: Be supervised by a RN in administering the insulin; OR have the responsibility delegated by the RN for administering the insulin to the QMA based on the RN's assessment of the QMA's competency to administer insulin
. Be informed by the health facility where the QMA is employed that the facility: Answer: permits the QMA to administer insulin;
It is the responsibility of the QMA with insulin administration approval to Answer: understand and review the facility policies or procedure related to the above information at any health facility where employed. If the health facility does not have the above information available, the QMA must NOT administer insulin.
The pancreas is one of the endocrine glands that is located
Answer: upper abdomen, behind the stomach.
The pancreas serves two important functions Answer:
Three main types of enzymes are produced by the pancreas Answer: Lipase Protease Amylase
Lipase Answer: breaks down fats
PROtease Answer: breaks down PROtein