Insulin Dosage Calculation based on Sliding Scale

NursingInsulin Dosage CalculationEasy

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Order: Humulin NPH 40 units and Humulin Regular 25 units SC every morning. The AM finger-stick blood sugar is 213 mg/dL. What is the total number of units to be administered? Use the sliding scale below. __________ units

Blood Sugar | Regular Insulin

< 180 | 0 units

181-200 | 2 units

201-220 | 4 units

221-240 | 6 units

> 240 | Call physician

This question includes visual content: A table representing a sliding scale for Regular Insulin administration based on blood sugar levels: 0-180 mg/dL (0 units), 181-200 mg/dL (2 units), 201-220 mg/dL (4 units), 221-240 mg/dL (6 units), and >240 mg/dL (Call physician).

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Step by Step Written Solution

1
Step 1

In this problem, we need to calculate the total amount of insulin to be administered to a patient based on a physician's order and a sliding scale for blood sugar.

Calculating Total Insulin Dosage

2
Step 2

Let's identify the three components of the total dosage. First, the fixed order includes forty units of N-P-H insulin. Second, it includes twenty five units of regular insulin. Third, we must add the extra regular insulin from the sliding scale based on the patient's blood sugar reading.


Components:

1. Humulin NPH: 40 units

2. Humulin Regular (Fixed): 25 units

3. Sliding Scale Regular: ? units

3
Step 3

The patient's finger stick blood sugar is two hundred and thirteen milligrams per deciliter. Let's look at the sliding scale provided in the table to find the corresponding additional dosage.


Patient Status:

- Blood Sugar: 213 mg/dL

4
Step 4

Looking at the table, two hundred and thirteen falls into the range of two hundred and one to two hundred and twenty milligrams per deciliter. For this specific range, the scale indicates an additional four units of regular insulin.

Blood SugarRegular Insulin
< 1800 units
181-2002 units
201-220**4 units**
221-2406 units
> 240Call physician

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About This Question

Subject
Nursing
Topic
Insulin Dosage Calculation
Difficulty
Easy
Question Type
Open Ended

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