Deck 10: Insulin Administration

Question 1

When hypoglycemia is identified on a conscious person, what can be given to increase the blood sugar level?

Answer 1

Orange juice or apple juice; the liquids will enter the blood stream faster than a piece of candy.

Question 2

What other medication in a multiple dose vial is commonly confused with insulin?

Answer 2

Heparin

Question 3

The patient weighs 75 kg and has consumed 20 g CHO for breakfast, 10 g CHO for lunch, and 20 g CHO for dinner. Based on this, how many total units of insulin were required for the day?

Answer 3

5 units
Total CHO = 20 + 10 + 20 = 50 g CHO total for the day

11 x = 50 x = 4.5 = 5 units of insulin required for the day

Question 4

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?

Question 5

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

Question 6

Hypoglycemia is characterized by a glucose blood level below what level?

Question 7

Can Lantus (insulin glargine) be mixed with other insulins?

Question 8

The patient weighs 194 lb and has consumed 35 g CHO. How many units of insulin will be required?

Question 9

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?

Question 10

Glucagon injection is used to treat what condition?

Question 11

Name some fast acting insulins.

Question 12

Ordered: 40 units Humulin R insulin in 500 mL of 0.9% sodium chloride to infuse at 8 units per hr
a. How many hours will the IV infuse?
b. How many mL per hr will be infused?

Question 13

A blood glucose level (BGL) of 120 mg per dL is desired. The standing order for this patient is:
Give 1 unit of insulin for every 10 mg above 120 mg per dL.
Give 1 unit of insulin for every 10 g CHO consumed.
Calculate the total number of units of insulin that will be required for a BGL reading of 140 mg per dL and 21 g CHO consumed. Round answers to the nearest whole number.

Question 14

Name an incretin mimetic.

Question 15

What is the only type of insulin that can be given intravenously?

Question 16

The patient weighs 215 lb. She ate 32 g CHO for breakfast, 20 g CHO for lunch, 42 g CHO for dinner, and 10 g CHO for a bedtime snack.
How many total units of insulin did she require for the entire day?

Question 17

Insulin is manufactured by what body organ?

Question 18

Insulin is a high alert drug; therefore, what measures should be taken by the nurse to prevent an incorrect dosage?

Question 19

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

Question 20

Ordered: 1 unit of insulin for every 10 mg above 125 mg per dL. The BGL level is 160 mg per dL.
How many units of insulin are required?

Question 21

Directions: Mark the syringe with the ordered amount of regular and intermediate acting insulin.
Ordered: 4 units of Humalog R and 8 units of Humulin N

Question 22

Directions: Calculate insulin requirements based on the following orders:
Order: Give 1 unit of insulin for every 15 mg the BGL is above 170 mg per dL. Give 1 unit of insulin for every 10 g of CHO consumed.

-The BGL is 220 mg per dL, and 150 g CHO has been consumed.

Question 23

Directions: Mark the syringe with the ordered amount of regular and intermediate acting insulin.
Ordered: 6 units of Novolog and 18 units of Novolin N

Question 24

Directions: Mark the syringe with the ordered amount of regular and intermediate acting insulin.
Ordered: 14 units of Novolog and 22 units of Novolin N

Question 25

Directions: Mark the syringe with the ordered amount of regular and intermediate acting insulin.
Ordered: 12 units of Novolog and 22 units of Novolin N

Question 26

Directions: Mark the syringe with the amount of insulin ordered.
Ordered: 39 units

Question 27

Directions: Mark the syringe with the ordered amount of regular and intermediate acting insulin.
Ordered: 8 units of Humalog and 16 units of Humulin N

Question 28

Directions: Mark the syringe with the ordered amount of regular and intermediate acting insulin.
Ordered: 7 units of Humalog R and 25 units of Humulin N

Question 29

Directions: Mark the syringe with the amount of insulin ordered.
Ordered: 68 units

Question 30

Directions: Mark the syringe with the amount of insulin ordered.
Ordered: 44 units

Question 31

When mixing regular and intermediate insulin, which one should have the measured amount of air injected into the vial first?

Question 32

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

Question 33

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

Question 34

Directions: Calculate insulin requirements based on the following orders:
Order: Give 1 unit of insulin for every 15 mg the BGL is above 170 mg per dL. Give 1 unit of insulin for every 10 g of CHO consumed.

-The BGL is 160 mg per dL, and 40 g CHO has been consumed.

Question 35

Directions: Mark the syringe with the amount of insulin ordered.
Ordered: 78 units

Question 36

Directions: Mark the syringe with the ordered amount of regular and intermediate acting insulin.
Ordered: 10 units of Humalog R and 12 units of Humulin N

Question 37

Directions: Calculate insulin requirements based on the following orders:
Order: Give 1 unit of insulin for every 15 mg the BGL is above 170 mg per dL. Give 1 unit of insulin for every 10 g of CHO consumed.

-The BGL is 280 mg per dL, and 210 g CHO has been consumed.

Question 38

Directions: Mark the syringe with the ordered amount of regular and intermediate acting insulin.
Ordered: 6 units of Humalog R and 16 units of Humulin N

Question 39

Directions: Calculate insulin requirements based on the following orders:
Order: Give 1 unit of insulin for every 15 mg the BGL is above 170 mg per dL. Give 1 unit of insulin for every 10 g of CHO consumed.

-The BGL is 200 mg per dL, and 110 g CHO have been consumed.
How many total units of insulin are required?

Question 40

Directions: Mark the syringe with the amount of insulin ordered.
Ordered: 42 units

Question 41

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

Question 42

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

Question 43

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