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Discussion

Insulin drip question

Can someone please help me solve this question? I would really appreciate it.

The HCP writes a prescription for an insulin drip to begin for Mr. Rogers, who currently weighs 226 is (97.9 kg). The pharmacy sends a pre-mixed insulin drip with 100 units of regular insulin in 100 cc of 0.9% Normal Saline. Per hospital protocol, the blood glucose is monitored hourly for titration of insulin infusion.

Mr. Rogers' blood glucose level is 240 mg/dl.

Insulin Infusion Protocol

Blood Glucose (BG): Units/hr

110-119: 0.5

120-149: 1

150-179 1.5

180-209: 2

210-239: 2

240-269: 3

270-299: 3

The RN sets the insulin drip to delivery how many mL/hr?

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    Why don't you show us what you have done first?

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    Hi melimeli,

    if I'm reading the question correctly, you can use this formula:

    units/hr units in fluid

    ______ = ________

    x (mL/hr) Total volume

    I won't give you the answer...but, this can certainly guide you.

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    Well the titration table indicates that a blood sugar of 240 should dictate that the infusion be run at 3 units per hour.

    If the bag has 100 units in 100 mL, how many mL hold 3 units?

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    226 lb is not 97.9 kg. Just pointing that out...

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