med sheet insulin regular KWE

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APPENDIX I
MEDICATION ADMINISTRATION
Student Name: __________Erin Nowlin_______________
Date of Care: _____04/21/2011__________
Client Allergies: _NKDA
DRUG
Generic:
Insulin
regular
Brand:
Humulin R
Onset:
immediate
Peak:
unknown
Duration:
unknown
O2 Sat
DOSAGE
ROUTE &
FREQUENCY
Client:
Sliding scale: give
insulin
subcutaneously
every 6 hours
Glu
Insulin
130-150 2 units
151-200 4 units
201-250 6 units
251-300 8 units
301-350 10 units
351-400 12 units
>401
call MD
Usual:
Dosage varies
among patients and
must be determined
by prescriber.
Client Initial: ___ KWE________
FLUID
TYPE
Primary:
CLASSIFI
CATION
Pharmacologic
Classification:
PURPOSE OF
DRUG
(Indication)
Specific to the
Client:
MAJOR
NURSING
IMPLICATIONS
MATH
CALCULATIONS
Adverse Reactions (2):
gtt/min:
Metabolic: hypoglycemia
Skin: lipodystrophy
Pancreatic hormone hyperglycemia
_ Isotonic
_ Hypotonic
_ Hypertonic
Secondary:
Action (patho):
Increases glucose
transport across
muscle and far cell
membranes to
reduce glucose
level. Helps convert
glucose to
glycogen; triggers
amino acid uptake
and conversion to
protein in muscle
cells; stimulates
triglyceride
formation and
inhibits release of
free fatty acids from
adipose tissue; and
Usual:
hyperglycemia
V/S to assess
before admin.
Assess all VS
Labs to assess
before admin.
FSBG
Interactions: (2)
Corticosteroids:
May decrease the
mL/hr:
glucose-lowering effect of
insulin and cause
hyperglycemia.
Salicylates: May enhance
the glucose-lowering
effect of insulin and may Push rate:
potentiate hypoglycemia.
Effects on Labs: (2)
May decrease glucose,
magnesium, and
potassium levels
Dilution:
Nursing
Considerations (2):
Some patients may
develop insulin resistance
(Must Show all math)
stimulated
lipoprotein lipase
activity, which
converts circulating
lipoproteins to fatty
acids.
and need large insulin
doses to control
symptoms of diabetes.
Adjust dose regularly,
according to patient's
glucose measurements.
Monitor glucose level
regularly.
Client Teaching(1):
Advise patient of the
warning signs of low
glucose level (shaking,
sweating, moodiness,
irritability, confusion, or
agitation). Tell patient to
carry sugar (candy, sugar
packets) to counteract low
glucose level.
Antidote:
None listed
Black Box Warning:
None listed
Remember Pain is the 5th V/S
References: Kluwer, W. (2011) Nursing 2011 drug handbook (31st ed.). Ambler,Pennsylvania:Lippincott Williams&Wilkins
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