Exam 9: Insulin Administration

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Ordered: 35 units Humulin R insulin in 250 mL of 0.45% of sodium chloride to infuse in 12 hr. a. How many units per hr will the patient receive? b. How many mL per hr will infuse via the electronic infusion device?

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a. 2.91 mL 2.91 \mathrm{~mL} per hr


Have \quad \quad \quad \quad \quad Want to Have
35 units : 12hr=x 12 \mathrm{hr}=x units : 1hr 1 \mathrm{hr}
12x=35 12 x=35
x=2.91 x=2.91 units per hr


Proof 1×35=35 1 \times 35=35
\quad \quad 12×2.91=34.9=35 12 \times 2.91=34.9=35




b. 21 mL 21 \mathrm{~mL} per hr

Have \quad \quad \quad \quad \quad \quad \quad \quad Want to Have
35 units : 250 mL=2.91 250 \mathrm{~mL}=2.91 units : x mL x \mathrm{~mL}
35x=250×2.91=727.5 35 x=250 \times 2.91=727.5
35x=727.5 35 x=727.5
x=20.78=21 mL x=20.78=21 \mathrm{~mL} per hr


Proof: 250×2.91=727.5 250 \times 2.91=727.5
\quad \quad \quad 35×20.78=727.3 35 \times 20.78=727.3

The patient's blood sugar is 210 mg per dL . According to the sliding scale below, how many units of insulin will the patient receive? Stleling sealo Blood gluxose kevil 50-80 Trat low BG and retest in 15 min 80-100 10 untts 100-150 12 units 150-200 15 units 200-250 17 units 250-300 20 units 300-350 25 units 350- above Call phystctar

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Give 17 units of insulin based on the sliding scale

Ordered: 55 units Humulin R insulin in 500 mL of NS to infuse for 24 hr . a. How many units per hr will be infused? b. How many mL per hr will be infused?

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a. 2.29 mL 2.29 \mathrm{~mL} per hr \mathrm{hr}


Have \quad \quad \quad \quad \quad Want to Have
55 units : 24hr=x 24 \mathrm{hr}=x units : 1hr 1 \mathrm{hr}
24x=55 24 x=55
x=2.29 x=2.29 units per hr


Proof 55×1=55 55 \times 1=55
\quad \quad 24×2.29=55 24 \times 2.29=55



b. 21 mL 21 \mathrm{~mL} per hr


Have \quad \quad \quad \quad \quad \quad \quad \quad Want to Have
55 units : 500 mL=2.29 500 \mathrm{~mL}=2.29 units : x mL x \mathrm{~mL}
55x=1145 55 x=1145
x=20.8=21 mL x=20.8=21 \mathrm{~mL} per hr


Proof: 55×20.8=1145 55 \times 20.8=1145
\quad \quad 500×2.29=1145 500 \times 2.29=1145

Mark the syringe with the amount of insulin ordered. -Ordered: 39 units 39 \text { units } .  Mark the syringe with the amount of insulin ordered. -Ordered:  39 \text { units }  .

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Mark the syringe with the ordered amount of regular and intermediate-acting insulin. -Ordered: 12 units 12 \text { units } of Novolog and 22 units 22 \text { units } of Novolin N.  Mark the syringe with the ordered amount of regular and intermediate-acting insulin. -Ordered:  12 \text { units }  of Novolog and  22 \text { units }  of Novolin N.

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Mark the syringe with the ordered amount of regular and intermediate-acting insulin. -Ordered: 6 units 6 \text { units } of Humalog R and 16 units 16 \text { units } of Humulin N.  Mark the syringe with the ordered amount of regular and intermediate-acting insulin. -Ordered:  6 \text { units }  of Humalog R and  16 \text { units }  of Humulin N.

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Ordered: 1 unit of insulin for every 100 mg above 125 mg per dL. The BGL level is 160 mg per dL. How many units of insulin are required?

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Mark the syringe with the ordered amount of regular and intermediate-acting insulin. -Ordered: 14 units 14 \text { units } of Novolog 22 units 22 \text { units } and of Novolin N.  Mark the syringe with the ordered amount of regular and intermediate-acting insulin. -Ordered:  14 \text { units }  of Novolog  22 \text { units }  and of Novolin N.

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Mark the syringe with the ordered amount of regular and intermediate-acting insulin. -Ordered: 4 units 4 \text { units } of Humalog R and 8 units 8 \text { units } of Humulin N.  Mark the syringe with the ordered amount of regular and intermediate-acting insulin. -Ordered:  4 \text { units }  of Humalog R and  8 \text { units }  of Humulin N.

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Mark the syringe with the ordered amount of regular and intermediate-acting insulin. -Ordered: 10 units 10 \text { units } of Humalog R and 12 units 12 \text { units } of Humulin N.  Mark the syringe with the ordered amount of regular and intermediate-acting insulin. -Ordered:  10 \text { units }  of Humalog R and  12 \text { units }  of Humulin N.

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Ordered: 40 units Humulin R insulin in 250 mL of normal saline (NS) to infuse for 12 hr. a. How many units per hr will be infused? b. How many mL per hr will be infused?

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Determine the correct amount of insulin in each syringe. Write your answer in the space provided. -Units measured: _____ Determine the correct amount of insulin in each syringe. Write your answer in the space provided. -Units measured: _____

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Calculate insulin requirements based on the following orders: -The BGL is 160 mg per dL160 \mathrm{~mg} \text { per } \mathrm{dL} , and 40 g CHO 40 \mathrm{~g} \text { CHO } has been consumed.

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Mark the syringe with the amount of insulin ordered. -Ordered: 42 units 42 \text { units } .  Mark the syringe with the amount of insulin ordered. -Ordered:  42 \text { units }  .

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Mark the syringe with the ordered amount of regular and intermediate-acting insulin. -Ordered: 7 units 7 \text { units } of Humalog R and 25 units 25 \text { units } of Humulin N.  Mark the syringe with the ordered amount of regular and intermediate-acting insulin. -Ordered:  7 \text { units }  of Humalog R and  25 \text { units }  of Humulin N.

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Calculate insulin requirements based on the following orders: -The BGL is 180mg per dL180 \mathrm{mg} \text { per } \mathrm{dL} , and 160 gCHO160 \mathrm{~g} \mathrm{CHO} has been consumed.

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For the following problems, refer to Table 10-2. Table 10-2 insulin Units Required Based on CH Units and Weight Weight in Pounds Weight in Kg 100-109 45.5-49.5 110-129 50-58.6 130-139 5963.2 140-149 63.6.67.7 150.159 68.272.3 160.160 72.7.76.8 170.179 77.3-81.4 180-189 81.865.9 190-198 86.490 200.239 90.9108.6 240+ 109.1+ Unite grams of CHO 1:16 1:15 1:14 1:13 1:12 1:11 1:10 1:9 1:8 1:7 15 -The patient weighs 215 lb215 \mathrm{~lb} . She ate 32 g CHO32 \mathrm{~g} \mathrm{~CHO} for breakfast, 20 g CHO20 \mathrm{~g} \mathrm{~CHO} for lunch, 42 g CHO42 \mathrm{~g} \mathrm{~CHO} for dinner, and 10 g CHO10 \mathrm{~g} \mathrm{~CHO} for a bedtime snack. How many total units of insulin did she require for the entire day?

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Ordered: 1000 ml of 0.9% sodium chloride with 100 units Humulin regular (R) insulin to infuse at 12 units per hr until the blood sugar level is stabilized at 150 mg per dL . At how many mL per hr will you set the infusion device?

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Ordered: 50 units Humulin R insulin in 250 ml of 0.45% sodium chloride to infuse at 5 units per hr. a. How many hr will it take to infuse? b. How many mL per hr will be infused?

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When mixing regular and intermediate insulins, which one should be drawn up first?

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