The nurse plans care for a client experiencing a hyperglycemic-hyperosmolar state (HHS). The nurse should anticipate which prescriptions from the primary healthcare provider (PHCP)?A. 0.9% saline infusionB. Glargine insulinC. Sodium polystyreneD. Sodium bicarbonate
Question
The nurse plans care for a client experiencing a hyperglycemic-hyperosmolar state (HHS). The nurse should anticipate which prescriptions from the primary healthcare provider (PHCP)?A. 0.9% saline infusionB. Glargine insulinC. Sodium polystyreneD. Sodium bicarbonate
Solution
The nurse should anticipate a prescription for a 0.9% saline infusion from the primary healthcare provider (PHCP).
Here's why:
A. 0.9% saline infusion: This is typically the first-line treatment for a hyperglycemic-hyperosmolar state (HHS). The saline solution helps to rehydrate the body and restore electrolyte balance, which can be severely disrupted in HHS.
B. Glargine insulin: This is a long-acting insulin that is not typically used in emergency situations like HHS. Instead, regular or short-acting insulin is usually administered to quickly lower blood glucose levels.
C. Sodium polystyrene: This is a medication used to treat high levels of potassium in the blood, not high blood sugar levels. It would not be a typical prescription for HHS.
D. Sodium bicarbonate: This is used to treat metabolic acidosis, a condition where the body produces too much acid or when the kidneys are not removing enough acid from the body. It is not typically used to treat HHS.
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