Insulin to Carbohydrate ratio is a way to get right amount of insulin for the carbohydrate that one eats.It means that one takes 1 unit of insulin for certain amount of carbohydrate.
Units of insulin needed= Carbohydrate intake in grams / Insulin Carbohydate ratio
Insulin Carbohydrate ratio in this case is 4.1 ,when carbohydrate is 50 grams and Insulin dose is 12.
So rounding if to nearest whole number 4,so ratio is 1: 4
Ann's Insulin Dose: 10 units Humalog + 12 units NPH 8:00 am 5 units Humalog before...
Ann’s Insulin Dose: 10 units Humalog + 12 units NPH 8:00 am 5 units Humalog before lunch 12 units Humalog before dinner 21 units NPH 11:00 pm Ann's Carbohydrate Intake: breakfast – 40 grams lunch – 60 grams dinner – 50 grams All pre and post meal BG levels are in an ideal range. What is Ann’s insulin sensitivity factor?
1. Matt takes a split dose of NPH (intermediate) and Humalog (rapid) insulin before breakfast (am dose) and dinner (pm dose) each day. He checks his blood sugar before lunch and it ranges between 90-130 mg/dl and before dinner it ranges between 170-210 mg/dl. To improve blood sugar control Matt should: Increase am dose of Humalog Increase am dose of NPH Increase pm dose of Humalog Increase pm dose of NPH a. d. 2. Sandy's insulin dose: 12 units NPH...
1. Kim's Insulin dose: 10 units Humalog (rapid-acting) + 20 units NPH at 7:30 am 5 units Humalog at 12:30 pm 10 units Humalog at 6:30 pm 20 units of NPH bed time If Kim's post breakfast blood sugar is too low which of the following would be least likely to improve it? increase calories at breakfast b. decrease 7:30 am Humalog insulin decrease morning exercise d. decrease 7:30 am NPH insulin C. 2. Kim's Insulin dose: 10 units Humalog...
Jack's FBS is 109 mg/dl Insulin dose 15 units of Lantus and 4 units of Humalog Breakfast: 2 slices Pepperidge Farm Whole Wheat Bread 8 ounces of skim milk 2 tsp. margarine 2 slices bacon two hour post meal BG 138 mg/dl Based on the above info what is Jack's insulin to CHO ratio?
1. Jerry's FBS is 109 mg/dl Insulin dose 15 units of Lantus and 4 units of Humalog Breakfast: 2 slices Pepperidge Farm Whole Wheat Bread 8 ounces of skim milk 2 tsp. margarine 2 slices bacon two hour post meal BG 138 mg/dl Based on the above info what is Jerry's insulin to CHO ratio? 2. If Jerry wanted to add a second glass of milk with his breakfast, how much total Humalog should he take? (round to nearest whole...
The doctor asks his patient to keep accurate and detailed food, insulin and blood glucose records to determine an ideal insulin to CHO ratio for lunch. Round to nearest whole number. Based on the logs below what ratio would you recommend the patient to use? Day 1 Pre meal blood glucose: 98mg/dI 10 units rapid acting insulin 2 slices whole what bread 4 ounces turkey 1 tbsp mayo 2 Oreo cookies 8 oz whole milk 2 hour post meal BG 143mg/dI Day...
Order: AM dose: Humulin NPH 15 units and Humulin Regular 5 units subcutaneous. The AM blood sugar is 230. How much total insulin should be given? Refer to the following Sliding Scale for additional Regular Insulin Coverage: Blood Sugar Regular Insulin 0-120 0 units 121-140 4 units 141-180 6 units 181-220 9 units 221-260 12 units 261-300 15 units >301 Call physician
Question 10Mr. Rubio has been diagnosed with an acute bacterial conjunctivitis. He is allergic to Sulfa Which ophthalmic medication would be best to use in this case and why?Question 11Ms. Warren's TSH level is 41. The normal range for the TSH, depending on your institution is approximately (0.4-5.0 mU/L) What is her diagnosis? What medication, if any, should the Nurse Practitioner prescribe ? How often should the Nurse Practitioner monitor a TSH? What should the TSH goal be? Question 12Mr. Sanders...
At Kate's next appointment, Paula showed Kate how to use a
glucose meter. She instructed Kate to measure her blood glucose
level twice a day before and after breakfast and dinner. Paula
explains to Kate that her pre-meal blood glucose level should be
110 mg/dL or less, and if it increases by more than 50 mg/dL, she
needs to lower the amount of carbohydrates she consumes. Kate and
Paula proceed to plan several meals. Because a meal should contain
about...
WM is a 22-year-old female with cystic fibrosis (CF) diagnosed at 8 months of age who presents with a 3 day history of increasing cough, purulent sputum production and shortness of breath. Additionally, she has been having trouble with hyperglycemia, with glucose levels ranging from 250-400 mg/dl. She was evaluated and diagnosed with a CF exacerbation and admitted. During her 5-day hospital admission, she has received intravenous antibiotics, respiratory treatments and aggressive chest percussion to improve her airway clearance. Her...