Reassess FSBS in 1 hour and prn Critically Low Hyperglycemia Vagueness Mental

Reassess fsbs in 1 hour and prn critically low

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Reassess FSBS in 1 hour and prn. Critically Low Hyperglycemia Vagueness Mental confusion Hypotension Coma Death Assess FSBS. As with extreme hypoglycemia, blood glucose may vary greatly from patient to patient: One may not exhibit these signs and symptoms even when glucose is 700 mg/dL or higher, while another may be
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already hypotensive or comatose at 500 mg/dL. Treat symptomatically as well as administering insulin to lower glucose. Notify the laboratory to draw a stat serum glucose. Reassess FSBS in 1 hour and prn. Assess vital signs and apply oxygen. Notify the health-care provider stat. Initiate an IV line if not already infusing. Administer rapid-acting insulin according to physician’s orders. Insulin should be kept refrigerated. However, before withdrawing it, gently roll the vial between both hands for approximately 1 minute to resuspend and warm the medication. Avoid shaking or vigorously agitating the insulin. When mixing insulins in the same syringe, the clear rapid-acting insulin must be withdrawn into the syringe first, followed by the cloudy intermediate-acting insulin. The preferred injection site for insulin is the abdomen because it provides faster and more consistent absorption, but the back of the upper arms, the thighs, and the buttocks also may be used. Safety: Injection sites should be rotated to establish consistent blood insulin levels and reduce the risk of tissue damage, which will affect absorption. Patients who require repeated insulin injections may develop lipoatrophy, the breakdown of subcutaneous fat at the site of repeated insulin injections, or lipohypertrophy, the buildup of subcutaneous fat at the site of repeated insulin injections. To prevent these complications, rotate injection sites around the abdomen, keeping them typically a fingerbreadth, or 1 inch, apart. Safety: Do not massage after injecting insulin because this may cause erratic absorption of the drug. Basal and Bolus Insulin. Insulin can be administered with injections one or more times per day, or by pump, which delivers a small amount of short-acting insulin hourly throughout the day. This keeps the blood sugar levels within normal range between meals and overnight. Then when the diabetic using an insulin pump
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needs additional insulin, such as at mealtime, a bolus of short-acting insulin is administered via the pump to mimic the body’s production of insulin. The term basal refers to the minimum requirements when the body is at rest and no additional demands are being made. HEPARIN. Heparin is an anticoagulant drug that is administered to reduce and prevent formation of blood clots, which can cause cerebrovascular accidents and heart attacks, or myocardial infarctions. You should always monitor the laboratory results of the partial thromboplastin time, activated partial thromboplastin time, prothrombin time, and international normalized ratio prior to administration.
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