Becky is being treated for diabetic ketoacidosis via intravenous insulin and fluids, blood glucose was 36 mmol/l and blood ketones were 3.2 mmol/l on admission. What is the role of the nurse?
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- Mr. Morgan was admitted with a diagnosis of diabetic ketoacidosis (DKA) yesterday. His initial blood glucose reading was 740 mg/dL. An infusion of regular insulin was started for glucose management, as well as a normal saline infusion for hydration. His latest blood glucose reading is 230 mg/dL. As the nurse, your next step is to: administer an ampule of 50% dextrose solution. administer long-acting NPH insulin subcutaneously. advance the patient’s diet to an 1800 calorie ADA diet. convert to intravenous fluids containing 5% dextrose.Mr. Morgan was admitted with a diagnosis of diabetic ketoacidosis yesterday. His initial blood glucose reading was 740 mg/dl. An infusion of regular insulin was started for glucose management as well as normal saline infusion for hydration. His latest blood glucose reading is 230 mg/dl as the nurse the next step is tojessie comes to the medical office for pre-lunch check. his BG = 210mg/dl, his lunch = 59g, his ISF=1:60 his target = 120 mg/dl his I:C= 1:30. HOW MUCH INSULIN SHOULD YOU ADMINISTER
- Sammy is a student with a diagonis of Type 1 Diabetes who comes to your office and has a BG of 200. He is going to eat 45 grams of carbs for lunch. Target BG is 150, ISF=1unit decreases bg by 100mg/dl, Insulin carb ratio + 1 unit per 20 gms carb. How much insulin do you give Sammy and when do you give it to him? Sammy has a basal rate of 0.20u/hr. His last bolus of insulin was over 4hrs agoJessie comes to the medical office for pre-lunch check. BG – 210 mg/dL, lunch = 59 g, ISF = 1:60 Target – 120 mg/dL I:C = 1:30. How much insulin should you administer?If a type I diabetic client takes too much insulin, what clinical manifestations would alert the nurse to the fact that the client has become hypoglycemic? Question 11 options: confusion and cool, clammy skin fruity smelling breath and urinary ketones tremors of the limbs and bradycardia complaints of abdominal pain and nausea
- A 76-year-old patient states, “I have been experiencing com-plications of diabetes.” The nurse needs to direct the patient to gain more information. What is the most appropriate com-ment or question to elicit additional information? a. “Do you take two injections of insulin to decrease thecomplications?” b. “Most physicians recommend diet and exercise to regulateblood sugar.”c. “Most complications of diabetes are related to neuropathy.”d. “What specific complications have you experienced?”39 words A school-age child present with new-onset type 1 diabetes mellitus. The nurse should recognize the caregiver demonstrates understanding of how to manage the child's illness by which statement? 30) X A. Long-acting insulin is administered before each meal. B. Index fingers should be used for blood glucose testing. C. Blood glucose stability can be achieved with a restricted diet. D. Insulin injection sites are rotated between arm and legs. Accessibility: Investigate English (United States)The nurse is teaching a diabetic client to self-administer Humulin insulin, supplied in a vial labeled 100 units/mL. The provider has ordered 12 units of Humulin insulin to be taken each morning. How many milliliters of insulin would the client prepare for one dose?
- What are the nursing interventions to be considered when administering the NPH insulin?The patient is ordered 150 mcg of Levothyroxine (Synthroid) PO daily to treat hypothroidism. The pharmacy supplies Levothyroxine in 0.075 mg tablets. How many tablets will the nurse administer to the patient.he practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders the following items. Which are questionable related to her diabetic keto acidosis condition, and which are appropriate? Why? 1000 ml Lactated Ringer’s (LR) IV stat 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air 1800 calorie, carbohydrate controlled diet Bed rest Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN Furosemide (Lasix) 60 mg IV push now Urinary output every hour i. VS every shift
