when two types of insulins error ale correct amount are each combined measure the an order reads

1. Is it reasonable to administer NPH insulin and regular insulin at the same time if the patien

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When Two Types of Insulins Are Each Combined, Measure the Correct Amount. An order reads Novolin. You draw up 37 units from the Novolin vial and add 37 units of regular insulin. Although the patient receives a larger dose of Novolin insulin than was ordered (37 units instead of 5 units), he metabolizes the insulin quickly and loses consciousness due to hypoglycemia. This error can be avoided if you carefully check the order and the labels three times. Suppose the patient becomes hypoglycemic and the brain does not recover in time, this could lead to brain damage and death. Fortunately, if hypoglycemia is noted in time, glucagon and 50% dextrose are administered; the patient recovers. Think critically on the timing. Is it essential? The authorized prescriber ordered a routine dose of NPH insulin (15 units) at 0730 and a dose of regular insulin (units) at 0730 if the patient's blood sugar is greater than 140. The patient's 0730 blood sugar is 141. Is it reasonable? What type or types of insulin should be administered? What is the total dose of insulin to be administered? What syringe should be used to administer the insulin? What might happen if you gave the insulin at 0730 and the breakfast tray was delayed until 0930? What could you do to prevent this from happening?

          When Two Types of Insulins Are Each Combined, Measure the Correct Amount. An order reads Novolin. You draw up 37 units from the Novolin vial and add 37 units of regular insulin. Although the patient receives a larger dose of Novolin insulin than was ordered (37 units instead of 5 units), he metabolizes the insulin quickly and loses consciousness due to hypoglycemia. This error can be avoided if you carefully check the order and the labels three times. Suppose the patient becomes hypoglycemic and the brain does not recover in time, this could lead to brain damage and death. Fortunately, if hypoglycemia is noted in time, glucagon and 50% dextrose are administered; the patient recovers. Think critically on the timing. Is it essential? The authorized prescriber ordered a routine dose of NPH insulin (15 units) at 0730 and a dose of regular insulin (units) at 0730 if the patient's blood sugar is greater than 140. The patient's 0730 blood sugar is 141. Is it reasonable? What type or types of insulin should be administered? What is the total dose of insulin to be administered? What syringe should be used to administer the insulin? What might happen if you gave the insulin at 0730 and the breakfast tray was delayed until 0930? What could you do to prevent this from happening?

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