Doctor prescribes 20 units of NPH insulin IVP for a patient with DKA you question this order because?NPH should not be given IV for DKANPH will cause you to experience problems with hyperglycemia.NPH insulin causes development of long-term damage to the eyes and kidneys.All of the above
Question
Doctor prescribes 20 units of NPH insulin IVP for a patient with DKA you question this order because?NPH should not be given IV for DKANPH will cause you to experience problems with hyperglycemia.NPH insulin causes development of long-term damage to the eyes and kidneys.All of the above
Solution
You would question this order because NPH should not be given IV for DKA. NPH insulin is an intermediate-acting insulin that is typically administered subcutaneously, not intravenously. Giving it intravenously could lead to a rapid drop in blood sugar levels, potentially causing hypoglycemia. Furthermore, DKA (Diabetic Ketoacidosis) is a serious condition that typically requires a continuous infusion of regular or short-acting insulin, not intermediate-acting insulin like NPH. Therefore, the prescription of 20 units of NPH insulin IVP for a patient with DKA is questionable.
Similar Questions
The nurse has administered five units of regular insulin and ten units of NPH insulin. After administering both prescribed insulins, the nurse should assess the client for hypoglycemiaA. thirty minutes after administration.B. two to four hours after administration.C. four to six hours after administration.D. ten to twelve hours after administration.
The nurse is caring for a client with diabetic ketoacidosis (DKA) who is receiving an infusion of regular insulin. Which of the following clinical data should be reported to the primary healthcare provider (PHCP) immediately?A. Glucose 297 mg/dL, 16.52 mmol/L(70-110 mg/dL, 4.0–11.0 mmol/L)B. Potassium 3.2 mEq/L, 3.2 mmol/L (3.5-5 mEq/L, 3.5–5.1 mmol/L)C. BUN 24 mg/dL, 8.568 mmol/L (10-20 mg/dL, 2.5 to 6.4 mmol/L)D. Hemoglobin A1C 8.9% (< 7%, 4.8%–6.0%)
The nurse administers a combination of regular insulin and NPH insulin subcutaneously to a client at 0800. At which time should the nurse initially assess the client for hypoglycemia based on the peaks of the medications?A. 0830B. 1000C. 1200D. 1400
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
11. A patient is scheduled to take 5 units of Humulin R and 10 units of NPH. What is the proper way of mixing these insulins?*
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