Ati nurs 113 pharmacology proctored exam
Calculation
A patient with type 1 diabetes is prescribed a sliding scale insulin regimen using regular insulin before meals. The sliding scale is as follows: Blood glucose 150-199 mg/dL: 2 units Blood glucose 200-249 mg/dL: 4 units Blood glucose 250-299 mg/dL: 6 units Blood glucose 300-349 mg/dL: 8 units Blood glucose >350 mg/dL: Call provider The patient's blood glucose before lunch is 278 mg/dL. The patient is also prescribed 0.1 units/kg of insulin glargine (Lantus) once daily. The patient weighs 70 kg. How many total units of insulin should the nurse administer at this time? (LABEL CORRECTLY: NO SPACES IN ANSWER)
units
Explanation & Rationale
Calculation: Determine the regular insulin dose based on the sliding scale. The patient's blood glucose before lunch is 278 mg/dL. According to the sliding scale: Blood glucose 250-299 mg/dL: 6 units Therefore, the regular insulin dose is 6 units. Calculate the insulin glargine (Lantus) dose. Client weight = 70 kg. Prescription for insulin glargine = 0.1 units/kg once daily. Insulin glargine dose = 0.1 units/kg × 70 kg = 7 units. Calculate the total units of insulin to administer. Total units = Regular insulin units + Insulin glargine units Total units = 6 units + 7 units = 13 units.
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