Insulin lispro (Humalog)
ATI-format individual drug card with NCLEX-focused assessment, safety, teaching, and source attribution.
Insulin lispro (Humalog)
ATI class: Rapid-acting insulin / Antidiabetic
Action
- ATI/source-folder candidate for Insulin lispro (Humalog); verify mechanism against the source table before validation.
Therapeutic use
- Review under Diabetes mellitus medication safety.
Nursing assessment
- Check blood glucose before administration.
- Verify meal tray or carbohydrate source is available before rapid-acting insulin.
- Assess for hypoglycemia cues such as diaphoresis, tremor, tachycardia, confusion, or hunger.
Administration
- Verify route against the order and source table.
Side effects
- Verify common side effects against the source table.
Adverse effects
- Hypoglycemia
- Hypokalemia with intensive or IV insulin therapy
- Lipodystrophy at repeated injection sites
Interactions
- Beta blockers can mask adrenergic hypoglycemia cues.
- Corticosteroids and thiazide diuretics can raise glucose and increase insulin needs.
- Alcohol can increase hypoglycemia risk.
Contraindications
- Current hypoglycemia
Precautions
- Use caution with inconsistent meal intake, renal impairment, acute illness, or changing activity level.
- Dose changes require provider-guided glucose monitoring.
Client teaching
- Eat promptly after rapid-acting insulin as directed.
- Carry a fast-acting carbohydrate source.
- Rotate injection sites and monitor glucose as prescribed.
Medication outcomes
- Therapeutic response with no priority adverse effects.
Antidote / rescue
- No specific antidote is seeded; hold/question unsafe doses and manage toxicity per provider, facility, or poison-control guidance.
NCLEX priority cues
- Low glucose or no meal available is a hold-and-question cue.
- Altered mental status after insulin is hypoglycemia until proven otherwise.
- Treat hypoglycemia before routine teaching.
Medication classes
Source attribution
Related study cards
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ATI medication client teaching concept.
ATI medication nursing assessment concept.
ATI medication interaction concept.
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ATI medication precaution concept.