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(6 pts.)
Dose/Route/Frequency/
other possible routes (total
amount received per dose/per
day)
0.5 units / kg / day
SubQ
At dinner time
Insulin
1 unit per 10 grams
Aspart
carbohydrates
(novoLOG) For elevated pre-meal blood
glucose give insulin SQ 1 unit
per every 50 mg/dl over 150
mg/dl blood glucose
For elevated pre-bedtime
glucose (obtained before bedtime
snack) give insulin SQ 1 unit per
every 50 mg/dl over 200mg/dl
blood glucose
Total amount: Varies with meals
received / 24 hours: Varies with meals
Classification &
why patient
receiving (specific)
Major Side
Effects
Nursing
Implications &
Special Precautions
Administer 5075% of
daily insulin requirements
once daily
(range 2100 units/day)
Pharmacologic: pancreatics
Endo:
HYPOGLYCEMIA.
Local: lipodystrophy,
pruritis, erythema,
swelling.
Misc: allergic
reactions including
ANAPHYLAXIS.
Endo:
HYPOGLYCEMIA.
Local: lipodystrophy,
pruritis, erythema,
swelling.
Misc: allergic
reactions including
ANAPHYLAXIS.
safe: Y
Total insulin dose
determined by needs of
patient; generally 0.5 1
unit/kg/day; 50 70% of
this dose may be given as
meal-related boluses of
rapid-acting insulin
safe: Y
Control of hyperglycemia
in patients with type 1 or
type 2 diabetes mellitus.
Patient is receiving this for
control of his type 1
diabetes mellitus
Pharmacologic: pancreatics
Control of hyperglycemia
in patients with type 1 or
type 2 diabetes mellitus.
Patient is receiving this for
control of his type 1
diabetes mellitus
Nursing Interventions
(Specific)
Nursing Diagnosis
Nursing Interventions
(Specific)
Nursing Diagnosis
Nursing Interventions
(Specific)
Nursing Diagnosis
Nursing Interventions
(Specific)
Powerlessness
IX. (1 pt.)
Evaluation of Nursing Care (Reflect on your experience. Were you able to meet your goals?):
This clinical experience was one of the best clinical days I have had so far. The nurse I was with was extremely knowledgeable and
took time to teach me procedures and explain things I did not know and then allow me to be involved in treatment as much as
possible. I was able to give medications, do a full assessment, give insulin shots, practice charting, and work with the patients family
during teaching. Working with kids who have diabetes can be very difficult and heart wrenching at times but it can also be so uplifting
to see the positive attitudes and the smiles that these kids have. I was able to meet both of my goals; I was able to practice my clinical
skills as well and learn and apply what I know about diabetes treatment in a clinical setting.