A 77 Year Old Male Patient Is Admitted with Confusion

A 77 year old male patient is admitted with confusion, a blood glucose level of 1150 mg/dL, confusion, blood pressure of 88/45, heart rate of 120 and serum sodium of 148 and no urine output for the last 12 hours. What order would the nurse anticipate?

A) A bolus of Dextrose 5%, Normal Saline 9% over one hour.
B) A bolus of 10 units of regular insulin, followed by a continuous infusion of 0.1 unit/kg/hour.
C) Begin a continuous infusion of regular insulin 0.1 unit/kg/hour.
D) Replenish electrolytes based on the levels of the lab draw.

Correct Answer:

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