A patient/client has a sliding scale for insulin dosage. The order is for Humulin R every 6 hours as follows. (Note: "BG" is used for blood glucose.) The physician's order reads:
Accucheck every 6 hours
BG 0-80 mg/dL give 1 amp of D50 and call healthcare provider
BG 81-100 mg/dL 0 units subcutaneously
BG 101-150 mg/dL 2 units subcutaneously
BG 151-200 mg/dL 3 units subcutaneously
BG 201-250 mg/dL 5 units subcutaneously
BG 251-300 mg/dL 8 units subcutaneously and call healthcare provider
BG 300, call healthcare provider
At 6 am, the patient/client's Accucheck reading was 79 mg/dL. What would be the correct actions by the nurse?
A) Call the healthcare provider first
B) Give 1 amp of D50 and call the healthcare provider
C) Give 2 units of Humulin R insulin
D) Give 8 units of Humulin R insulin and call the healthcare provider

Question

A patient/client has a sliding scale for insulin dosage. The order is for Humulin R every 6 hours as follows. (Note: "BG" is used for blood glucose.) The physician's order reads:
Accucheck every 6 hours
BG 0-80 mg/dL give 1 amp of D50 and call healthcare provider
BG 81-100 mg/dL 0 units subcutaneously
BG 101-150 mg/dL 2 units subcutaneously
BG 151-200 mg/dL 3 units subcutaneously
BG 201-250 mg/dL 5 units subcutaneously
BG 251-300 mg/dL 8 units subcutaneously and call healthcare provider
BG >300, call healthcare provider
At 6 am, the patient/client's Accucheck reading was 79 mg/dL. What would be the correct actions by the nurse?
A) Call the healthcare provider first
B) Give 1 amp of D50 and call the healthcare provider
C) Give 2 units of Humulin R insulin
D) Give 8 units of Humulin R insulin and call the healthcare provider

Quizplus · Accepted Answer

The Accucheck was 79 mg/dL, which indicates a blood glucose level lower than recommended by the physician. The nurse should follow the protocol established by the sliding-scale orders.

A Patient/client Has a Sliding Scale for Insulin Dosage