Insulin prescribing

The nurse administers supplemental insulin based on blood glucose readings and the amount of insulin prescribed by the health care provider in the sliding scale. The nurse must notify the health care provider if the blood glucose level is greater than 400 mg dL. 

When the insulin dose is incorrectiy measured and is greater tiian that prescribed... 

Another potential adverse reaction may be if die patient has an allergy to the animal (pig or cow) from which the insulin is obtained or to the protein or zinc added to insulin. To minimize the possibility of an allergic reaction, some health care providers prescribe human insulin or purified insulin. However, on rare occasions, some individuals become allergic to the human and purified insulins. 

Insulin is ordered by die generic name (insulin zinc suspension, extended) or the trade (brand) name (Humulin U) (see the Summary Drug Table Insulin Preparations). The nurse must never substitute one brand of insulin for anodier unless the substitution is approved by the health care provider because some patients may be sensitive to changes in brands of insulin. In addition, it is important never to substitute one type of insulin for anodier. For example, do not use insulin zinc suspension instead of die prescribed protamine zinc insulin. 

Administration of insulin—sites to be used rotation of injection sites (see Home Care Checklist Rotating Insulin Injection Sites) angle of injection administration at die time of day prescribed by the health care provider disposal of die needle and syringe... 

A patient is prescribed insulin Humulin L 32 U. Choose the correct label for the insulin. 

A patient is prescribed 40 units NPH insulin mixed with 5 units of regular insulin. What is the total insulin dosage Draw a line on the syringe below showing the total insulin dosage. Describe how you would prepare the insulins. 

Assess adherence to the prescribed regimen, including timing of inhaled medications with respect to airway clearance therapies and timing of enzymes and insulin with regard to meals. Is the patient taking any medications not prescribed by the CF center team ... 

If a physician prescribes 5 units of insulin to be added to a liter IV solution of D5W and administered to a patient over an 8-hour period, how many drops per min should be administered using an IV set that delivers 10 drops per mL ... 

In an emergency situation when an insulin syringe is not available, one may use a tuberculin syringe. The volume of fluid to be withdrawn, X, into the tuberculin syringe to administer the prescribed dosage may be calculated by the method of proportion as follows ... 

Diet Patients must follow a prescribed diet and exercise regularly. Determine the time, number, and amount of individual doses and distribution of food among the meals of the day. Do not change this regimen unless prescribed otherwise. Hyperthyroidism/Hypothyroidism Hyperthyroidism may cause an increase in the renal clearance of insulin. Therefore, patients may need more insulin to control their diabetes. Hypothyroidism may delay insulin turnover, requiring less insulin to control diabetes. 

Standard treatment involves one or two daily injections of a prescribed dose of insulin, which is less likely to produce hyperinsulinemia leading to episodes of hypoglycemia. 

His physician prescribes 20 units NPH and 5 units regular insulin at breakfast, and 10 units NPH and 5 units regular insulin at dinner. After a few days, Mr. Smith begins to notice this approximate pattern in his blood sugar measurements ... 

Intensive insulin regimens are prescribed for almost everyone with type 1 diabetes—diabetes associated with a severe deficiency or absence of endogenous insulin production—as well as many with type 2 diabetes. 

Glucophage is an antidiabetic drug prescribed to treat Type II diabetes. Type II diabetes is also called non-insulin-dependent diabetes mellitus. Individuals who have Type II diabetes are usually unable to produce enough insulin naturally (in response to the food they ingest) or suffer cell insulin receptor-site insensitivity. However, Glucophage can be prescribed by a doctor for Type I diabetics as a means of additional glucose (blood sugar) control in unison with insulin injections. 

Although replacement therapy is basically limited to endocrine disorders, it still plays an important therapeutic role in clinical pharmacology. The number of people requiring replacement therapy for diabetes and hypothyroidism alone makes insulin and thyroid hormone among the most commonly prescribed drugs in the United States. For example, the drug Synthroid is taken daily by 8 million people to correct hypothyroidism, and its share of the market is worth 600 million per year. As more information is discovered about the role of other endogenous substances in the body, new examples of replacement therapy will occur. 

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