Mr. Mitchell is scheduled for an abdominal CT scan at 1000 am and is made Nothing by mouth (NPO) after midnight for the procedure. His IV is changed to D5W@ at 100 ml/Hr. His morning blood glucose is 195 at 8:00 am and based on his sliding scale for insulin, he is ordered 5 units of Humalog. Due to the short duration of the exam, the physician requests the medication to be given.
The nurse injects the Humalog insulin at 8:15 am.
Humalog is a rapid-acting insulin, it starts working within 15 minutes after injected and its peak action starts within 1 hour.
At the starting stage patient will not have hypoglycemia because if D5W infusion but at peak action stage the patient is at a high risk of hypoglycemia that is 1 hour after administration.
So, the nurse anticipates the high risk of hypoglycemia at 9:15. In the military time, it is 0915
Mr. Mitchell is scheduled for an abdominal CT scan at 1000 am and is made Nothing...
Susan Lee is a 60 year old female admitted to the medical surgical floor complaining of abdominal pain on and off for 4 months. Her complaints were constipation, bloating, abdominal pain and indigestion. Her CT scan diagnosed an abdominal mass. Susan’s past medical history includes COPD, Diabetes type 1, and vascular issues. Her medications include the following: Prednisone 10 mg daily Insulin glargine (lantus) 20 units at bedtime ASA 81 mg daily. Her assessment includes the following: Objective: Height :...
Created by Raney Linck pg. 1 of 5 To complete this exercise, you will need: Success Packet: D (Drugs to Know), Clinical Tools: 3a-3c (Clinical Reminders), and a Drug Book. You may also find the search engine at this website useful: MEDLINEPLUS.GOV (also WEBMD.COM). ***** This assignment is due at 6:30 AM on your very first clinical (orientation) day. ***** CRITICAL THINKING EXERCISE INDU MOHAN INDU MOHAN, age 68, and her husband Pulin have come from India to visit her...