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Discussion

Insulin Titration help

the hcp writes a prescription for an insulin drip to begin for mr.rogers who currently weighs 226 lbs.pre-mixed insulin drip with 100 units of regular insulin in 100 cc of 0.9% NS. How may ml/hr?

Insulin Infusion Protocol:

blood glucose: units/hr

110-119: 0.5

120-149:1

150-179: 1.5

180-209:2

210-239:2

240-269:3

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    • Author

    its just a practice question. and yes im a student

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    Your initial rate is usually weight based and then titrated according the blood glucose.

    The rate is easily determined because the concentration is one unit per ml.

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    What do you have so far? We will be happy to help, but not do the work FOR you.

    PS: You seem to be missing part of the question

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    • Author

    yes i was confused because this question did not provide a blood glucose. So can i do anything?

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    No. This is not a valid question unless you have a blood glucose or a specific order for x units per kg per hour.

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    You only have part of the question. You HAVE to know what the most recent blood glucose is to be able to dose.

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    yes i was confused because this question did not provide a blood glucose. So can i do anything?

    Check a blood glucose.

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    What's his current blood glucose levels?

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    I'm guessing they meant to make that weight a blood glucose, as in his blood glucose is currently 226 mg/dl.

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    2/100×100=2ml/hr. The drip contains 1 unit/ml

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    Forgot to mention that basing on his sliding scale if his glucose is 226 he'll need 2 units of insulin.

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