Generic & Trade Name of Drug: Novolog Insulin, Novolog: Adult: SC 0.25-0.7 Units/kg/d Injected 5-10 Min Before Each Meal
Generic & Trade Name of Drug: Novolog Insulin, Novolog: Adult: SC 0.25-0.7 Units/kg/d Injected 5-10 Min Before Each Meal
Insulin, Novolog
Indications/
Therapeutic Effects:
Provides better blood glucose control than regular human insulin when given before a meal.
Diabetes
Dosage Range:
Adult: SC 0.25–0.7 units/kg/d injected 5–10 min before each meal
Subcutaneous
Note: Must give 5–10 min before a meal.
Routes of
Administration: Draw up insulin aspart first when mixing with NPH insulin. Give injection immediately after it is mixed. Do not give NPH mixture by IV.
Store refrigerated at 2°–8° C (36°–46° F); may be stored at room temperature, 15°–30° C (59°–86° F) for up to 28 d. Do not expose to
excessive heat or sunlight, and do not freeze.
Absorption: Rapidly absorbed from SC injection site.
Onset: 15 min.
Peak: 40–50 min.
Pharmacokinetics: Duration: 3–5 h.
Distribution: Low protein binding.
Metabolism: Metabolized primarily in liver with some metabolism in the kidneys.
Half-Life: 81 min.
Nursing Implications/ Monitor for S&S of hypoglycemia. Initial hypoglycemic response begins within 15 min and peaks 45–90 min after injection.
Assessments: Lab tests: Periodically monitor fasting blood glucose and HbA1C.
Withhold drug and notify physician if patient is hypokalemic.
Body as a Whole: Allergic reactions.
Side/ Adverse Effects: Endocrine: Hypoglycemia, hypokalemia.
Skin: Injection site reaction, lipodystrophy, pruritus, rash.
Contraindications: Systemic allergic reactions; history of allergic reactions to insulin; hypoglycemia; pregnancy (category C).
Client Teaching: Do not inject into areas with redness, swelling, itching, or dimpling.
Ingest some form of sugar (e.g., orange juice, dissolved table sugar, honey) if symptoms of hypoglycemia develop, and seek medical assistance.
Check blood sugar as prescribed, especially postprandial values; notify physician of fasting blood glucose <80 and >120 mg/dL.
Notify the physician of any of the following: Fever, infection, trauma, diarrhea, nausea or vomiting. Dosage adjustment may be needed.
Do not take any other medication unless approved by the physician.
Do not breast feed while taking this drug without consulting physician.
Other: