Three days after admission, the floor is
Three days after admission, the floor is 3 nurses short. Mr. Lacitcarp is assigned a newly graduated nurse and as the nurse’s morning progresses, the nurse falls behind and is still trying to administer morning meds at 10:30 am. The nurse server outside of his room is out of insulin syringes and the nurse decides to use a TB syringe, drawing up Apridra to the 1 ml mark. Prior to administering the insulin, she has it double-checked by another nurse. The second nurse gasps and is astounded that the new grad chose to use a TB syringe. 1. How many units of insulin could the new grad have potentially given? /1 2. What adverse event could have occurred if that much insulin would have been given? /2 3. What are the clinical manifestations of hypoglycemia to watch for after giving insulin? /8 4. What is the treatment for someone who is alert vs someone who is non-responsive when in a hypoglycemic state? Provide an example/4 5. What education does the nurse provide to Mr. Lacitcarp’s regarding DM and wound prevention upon discharge? /6 (/3 DM & /3 Wound Prevention) SCIENCE
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