Insulin Dosage Calculation based on Sliding Scale
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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
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
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
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
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 Sugar | Regular Insulin |
|---|---|
| < 180 | 0 units |
| 181-200 | 2 units |
| 201-220 | **4 units** |
| 221-240 | 6 units |
| > 240 | Call physician |
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