I am having a bit of difficulty understanding this case study. Iwould appreciate an explanation on how to figure out how muchinsulin a patient needs based on their blood glucose levels. Whatis being asked is what amount of insulin should each patient get inorder to get patient’s blood glucose to 100 without going lower. Ineach box, we need nursing interventions based on the patient’sglucose levels at each time of the day.
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Case Study Diabetes Mellitus: 3 Patients 3 Patients: all have 0730 hrs Blood Glucose 275 mg/dL (insulin/glucose ratio is 1/50 for all patients) Patients have been in the hospital for 3 days. Meals are served at 0800, 1200 & 1830 hours Give Ordered 22 units NPH and units Regular insulin to get patient’s Blood Glucose to 100 (without going lower) Patient #1 1130 hrs BG 310 Pt. has no complaints Assessment & Action: Patient #2 1130 hrs BG 52 mg/dL Pt. is irritable Assessment & Action: Patient #3 1130 hrs BG 96 Pt is hungry Assessment & Action: Give units Reg Insulin Give units Reg Insulin Give units R Insulin 1400 hrs Pt. Is confused. BG 45 mg/dL 1800 hrs BG 145 mg/dL 1800 hrs BG 122 mg/dL 25 units 70/30 NPH/R standing order Assessment & Action: Assessment & Action: Assessment & Action: 2200 hrs BG 140 mg/dL 2200 hrs BG 100 mg/dL 10 units NPH ordered Assessment & Action: 2200 hrs BG 96 mg/dL 5 units 70/30 NPH/R ordered Assessment & Action: Assessment & Action:
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