Insulin drip to sliding scale insulin regimen

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Reference no: EM133807209

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Three days later: Diana has been transferred from the ICU to the medical floor for care. She has been transitioned from the insulin drip to a sliding scale insulin regimen that is similar to her home dosing regimen. Current diabetic medication orders: Capillary Blood Glucose (CBG) Q AC & HS Inulin Glargine (Lantus) 40 units sub q at Q HS Insulin Lispro (Humalog) sub q, CBG coverage on the Moderate Dose Scale Insulin Lispro (Humalog) sub q three times daily with meals, Carbohydrate Coverage 1 unit per 15 gram of carbohydrate Hypoglycemia Protocol Orders Gluagon (Glucagen) Injection 1mg IM as needed for low blood sugar Dextrose (Glucose Shot) oral liquid 15g of dextrose Sliding scale: At 1132 the CNA alerted you that she checked Diana's CBG. It was 172. Which insulin will you administer? Lispro (Humalog) How many units? 4 units How fast will it start working? When will it peak? At 1200 the CNA tells you that she cleared the food tray, Diana had 39 grams of carbohydrate for lunch. Which insulin will you administer? How many units? How fast will it start working? When will it peak? Later that night, Diana starts to complain of feeling unwell,

Reference no: EM133807209

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