Calculate the insulin sensitivity factor for above patient

Reference no: EM133577255

Calculate the following questions:

1. An 18-year-old patient is being discharged from the hospital after stabilization on an insulin drip for diabetic ketoacidosis. In the hospital, the patient was receiving Insulin glargine, and regular insulin (sliding scale). The physician would like the pharmacist to determine a basal/bolus regimen for this 72 kg T1DM patient.

2. A patient living with type 2 diabetes reports to the clinic with complaints of polyuria and polydipsia despite therapy on metformin and sitagliptin. The physician would like to initiate insulin glargine today for this Type 2 diabetes patient who weighs 124 kg. Determine the best regimen to initiate.

3. Your patient RR returns to the clinic 6 months later. He is currently on a regimen of insulin glargine 30 units once daily, metformin, and sitagliptin. His A1C today remains elevated, and the physician would like your recommendation on the appropriate dose of insulin aspart to start with dinner (utilizing the basal + 1 strategy).

4. Calculate the carb ratio utilizing the Rule of 500 for a patient who is currently taking NPH 16 units twice daily, and 3 units of aspart three times a day with meals. Round your answer to the nearest whole number.

5. Calculate the insulin sensitivity factor for the above patient using the Rule of 1800, who is taking NPH 16 units twice daily, and 3 units of aspart three times a day with meals. Round your answer to the nearest whole number.

6. The above patient is about to eat his meal. His current blood glucose is 274 mg/dL, and his blood glucose goal is 130 mg/dL prior to dinner. His carbohydrate intake for this meal is going to be 60 grams, as he is eating a bowl of pasta. Considering this, please calculate the correction factor that must be added to the empiric dose of aspart to reduce the patient's blood glucose, as well as cover their meal.

7. A newly diagnosed type 1 diabetes mellitus patient presents to your clinic. The patient weighs 220 lbs., and the physician would like to initiate insulin therapy. Please provide a drug regimen including drug, dose, route, and frequency.

8. A physician approaches you for a recommendation on the starting dose of metformin for a patient with chronic kidney disease. The physician would like you to determine if a dosing adjustment is required for a 68-year-old male patient, weighing 132 lbs., with a serum creatinine of 2.1, and a height of 5'0. What is the calculated CrCl (use this as your estimate for GFR)? Determine what dose of metformin should be given to the patient.

9. A patient is given a prescription for Novolin N insulin 24 units twice daily. The pharmacy dispenses one 10 ml vial to the patient, and the concentration is 100 units/ml. What is the days supply of the vial that is dispensed?

10. A 195 lb. patient is newly diagnosed with type 2 diabetes mellitus requiring basal insulin. Calculate an insulin regimen including drug, dose, route, and schedule.

Reference no: EM133577255

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