Nur 114 dosage calculation proctored exam
Calculation
The patient is scheduled to receive insulin NPH 25units with breakfast. The patient is currently NPO for surgery. Prior to surgery, the patient's blood glucose (BG) is 180 mg/dL. How many total units of insulin will the patient receive prior to surgery based on the following sliding scale? Do not provide the unit of measurement. Only provide the number. Insulin Dose BG Reading 0 units <160 mg/dL 2 units 160-220 mg/dL 4 units 221-280 mg/dL 6 units 281-340 mg/dL 8 units 341-400 mg/dL
units
Explanation & Rationale
Step 1: Scheduled NPH 25 units — held because the patient is NPO for surgery (do not give scheduled dose). Step 2: Blood glucose = 180 mg/dL → sliding-scale range 160–220 mg/dL = 2 units. Step 3: Total insulin given = 0 (held NPH) + 2 (sliding scale) = 2. Final Answer: 2
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