Exam 20: Insulin

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Directions: Calculate the dosage and shade in the dosage on the syringe where provided. A client is on a sliding scale for insulin dosages q6h. The order is for Humulin Regular U-100 subcut q6h as follows: Directions: Calculate the dosage and shade in the dosage on the syringe where provided. A client is on a sliding scale for insulin dosages q6h. The order is for Humulin Regular U-100 subcut q6h as follows:   Change to new label, see control sheet Blood Glucose Level (mg per dL) Regular Insulin Less than 70 Call MD 201-250 4 units 251-300 6 units 301-350 8 units 351-400 10 units Greater than 400 Call MD  a. At 8:00 AM the client's blood sugar is 384 mg/dL. Shade in the syringe with the appropriate dosage.     b. At 2:00 PM the client's blood sugar is 310 mg/dL. Shade in the syringe with the appropriate dosage.   Change to new label, see control sheet Blood Glucose Level (mg per dL) Regular Insulin Less than 70 Call MD 201-250 4 units 251-300 6 units 301-350 8 units 351-400 10 units Greater than 400 Call MD a. At 8:00 AM the client's blood sugar is 384 mg/dL. Shade in the syringe with the appropriate dosage. Directions: Calculate the dosage and shade in the dosage on the syringe where provided. A client is on a sliding scale for insulin dosages q6h. The order is for Humulin Regular U-100 subcut q6h as follows:   Change to new label, see control sheet Blood Glucose Level (mg per dL) Regular Insulin Less than 70 Call MD 201-250 4 units 251-300 6 units 301-350 8 units 351-400 10 units Greater than 400 Call MD  a. At 8:00 AM the client's blood sugar is 384 mg/dL. Shade in the syringe with the appropriate dosage.     b. At 2:00 PM the client's blood sugar is 310 mg/dL. Shade in the syringe with the appropriate dosage.   b. At 2:00 PM the client's blood sugar is 310 mg/dL. Shade in the syringe with the appropriate dosage. Directions: Calculate the dosage and shade in the dosage on the syringe where provided. A client is on a sliding scale for insulin dosages q6h. The order is for Humulin Regular U-100 subcut q6h as follows:   Change to new label, see control sheet Blood Glucose Level (mg per dL) Regular Insulin Less than 70 Call MD 201-250 4 units 251-300 6 units 301-350 8 units 351-400 10 units Greater than 400 Call MD  a. At 8:00 AM the client's blood sugar is 384 mg/dL. Shade in the syringe with the appropriate dosage.     b. At 2:00 PM the client's blood sugar is 310 mg/dL. Shade in the syringe with the appropriate dosage.

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a. 10 units a. 10 units   b. 8 units  b. 8 units a. 10 units   b. 8 units

Directions: Fill in the correct number or word(s). - What is the difference between the calibration of units on the 1-mL insulin syringe and on the Lo-Dose syringe? ______________________________

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On the 1-mL insulin syringe, each calibration is 2 units; on the Lo-Dose syringe, each calibration is 1 unit.

Directions: Calculate the dosage and shade in the dosage on the syringe where provided. Order: Novolin Regular U-100 10 units subcut and Novolin NPH U-100 18 units subcut stat Available: Directions: Calculate the dosage and shade in the dosage on the syringe where provided. Order: Novolin Regular U-100 10 units subcut and Novolin NPH U-100 18 units subcut stat Available:    a. What will you administer? _____ b. Explain the method for mixing two insulins: ______________________________ c. Shade in the appropriate dosage on the syringe provided.   a. What will you administer? _____ b. Explain the method for mixing two insulins: ______________________________ c. Shade in the appropriate dosage on the syringe provided. Directions: Calculate the dosage and shade in the dosage on the syringe where provided. Order: Novolin Regular U-100 10 units subcut and Novolin NPH U-100 18 units subcut stat Available:    a. What will you administer? _____ b. Explain the method for mixing two insulins: ______________________________ c. Shade in the appropriate dosage on the syringe provided.

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a. 28 units
b. Inject 18 units of air into the NPH insulin bottle and 10 units of air into the regular insulin. Withdraw 10 units of regular insulin and then 18 units of NPH insulin for a total of 28 units of insulin.
c. a. 28 units b. Inject 18 units of air into the NPH insulin bottle and 10 units of air into the regular insulin. Withdraw 10 units of regular insulin and then 18 units of NPH insulin for a total of 28 units of insulin. c.

Directions: Calculate the dosage and shade in the dosage on the syringe where provided. Directions: Calculate the dosage and shade in the dosage on the syringe where provided.    a. Trade name: _______________ b. Generic name: _______________ c. Directions for use: _______________ d. Is this a short- or long-acting insulin? __________ a. Trade name: _______________ b. Generic name: _______________ c. Directions for use: _______________ d. Is this a short- or long-acting insulin? __________

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Directions: Fill in the correct number or word(s). - U-100 on the label of an insulin vial me ______________________________.

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Directions: Calculate the dosage and shade in the dosage on the syringe where provided. Order: Humalog 75/25 U-100 27 units subcut at 7:30 AM Available: Directions: Calculate the dosage and shade in the dosage on the syringe where provided. Order: Humalog 75/25 U-100 27 units subcut at 7:30 AM Available:   What will you administer using this syringe? _____ Shade in the appropriate dosage on the syringe.  What will you administer using this syringe? _____ Shade in the appropriate dosage on the syringe. Directions: Calculate the dosage and shade in the dosage on the syringe where provided. Order: Humalog 75/25 U-100 27 units subcut at 7:30 AM Available:   What will you administer using this syringe? _____ Shade in the appropriate dosage on the syringe.

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Directions: Calculate the dosage and shade in the dosage on the syringe where provided. Order: Regular Humulin Insulin U-100 12 units subcut stat Available: Directions: Calculate the dosage and shade in the dosage on the syringe where provided. Order: Regular Humulin Insulin U-100 12 units subcut stat Available:    a. What will you administer using this syringe? _____ Shade in the appropriate dosage on the syringe.     b. What will you administer using this syringe? _____ Shade in the appropriate dosage on the syringe.   a. What will you administer using this syringe? _____ Shade in the appropriate dosage on the syringe. Directions: Calculate the dosage and shade in the dosage on the syringe where provided. Order: Regular Humulin Insulin U-100 12 units subcut stat Available:    a. What will you administer using this syringe? _____ Shade in the appropriate dosage on the syringe.     b. What will you administer using this syringe? _____ Shade in the appropriate dosage on the syringe.   b. What will you administer using this syringe? _____ Shade in the appropriate dosage on the syringe. Directions: Calculate the dosage and shade in the dosage on the syringe where provided. Order: Regular Humulin Insulin U-100 12 units subcut stat Available:    a. What will you administer using this syringe? _____ Shade in the appropriate dosage on the syringe.     b. What will you administer using this syringe? _____ Shade in the appropriate dosage on the syringe.

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Directions: Calculate the dosage and shade in the dosage on the syringe where provided. Directions: Calculate the dosage and shade in the dosage on the syringe where provided.    a. What does the R on the label identify? _______________ b. Is this a short- or long-acting insulin? _______________ c. What is the total volume of the vial? _____ d. What is the dosage strength of the insulin? _______________ a. What does the R on the label identify? _______________ b. Is this a short- or long-acting insulin? _______________ c. What is the total volume of the vial? _____ d. What is the dosage strength of the insulin? _______________

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Directions: Fill in the correct number or word(s). - Order: Lantus U-100 insulin 68 units subcut daily at 8:00 AM Available: Directions: Fill in the correct number or word(s). - Order: Lantus U-100 insulin 68 units subcut daily at 8:00 AM Available:   What will you administer using this syringe? ________ Shade in the appropriate dosage on the syringe.  What will you administer using this syringe? ________ Shade in the appropriate dosage on the syringe. Directions: Fill in the correct number or word(s). - Order: Lantus U-100 insulin 68 units subcut daily at 8:00 AM Available:   What will you administer using this syringe? ________ Shade in the appropriate dosage on the syringe.

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Directions: Fill in the correct number or word(s). - Order: Humulin Regular U-500 units 240 units subcut stat Available: Directions: Fill in the correct number or word(s). - Order: Humulin Regular U-500 units 240 units subcut stat Available:    a. What is the concentration of the insulin? ____________ b. Is this a short-acting or long-acting insulin? _____________ c. What will you administer using a 1 mL syringe? _________ d. Shade in the appropriate dosage on the syringe.     e. Calculate the dose and shade it in using a U-100 insulin syringe.   a. What is the concentration of the insulin? ____________ b. Is this a short-acting or long-acting insulin? _____________ c. What will you administer using a 1 mL syringe? _________ d. Shade in the appropriate dosage on the syringe. Directions: Fill in the correct number or word(s). - Order: Humulin Regular U-500 units 240 units subcut stat Available:    a. What is the concentration of the insulin? ____________ b. Is this a short-acting or long-acting insulin? _____________ c. What will you administer using a 1 mL syringe? _________ d. Shade in the appropriate dosage on the syringe.     e. Calculate the dose and shade it in using a U-100 insulin syringe.   e. Calculate the dose and shade it in using a U-100 insulin syringe. Directions: Fill in the correct number or word(s). - Order: Humulin Regular U-500 units 240 units subcut stat Available:    a. What is the concentration of the insulin? ____________ b. Is this a short-acting or long-acting insulin? _____________ c. What will you administer using a 1 mL syringe? _________ d. Shade in the appropriate dosage on the syringe.     e. Calculate the dose and shade it in using a U-100 insulin syringe.

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