NURS 6550 Week 8 ihuman Case- All Answers are Correct (Walden University)

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NURS 6550 Week 8 ihuman Case- All Answers are Correct Primary Diagnosis: Diabetes Mellitus type II Status/Condition: Guarded Code Status: Full Allergies: NKDA Admit to Unit: Intensive Care ... Activity Level: Up as tolerated with assist Diet: Diabetic Diet IVF: 0.45 NS at 125 ml/hr: Patients should be given intravenous 5% dextrose for acute hypernatremia or half-normal saline (0.45% sodium chloride) for hypernatremia (Kim, 2006). Given that the patient has elevated blood glucose of 566, D5W should be avoided at this time. Critical Drips: Regular Insulin IV drip: Carefully monitored continuous insulin infusions produce the greatest stability in blood glucose levels (Lilley & Levine, 2008). Respiratory: None at this time, monitor O2 saturations Medications: • Regular Insulin IV drip: Begin at 1mg/ml and titrate. Once insulin therapy is started, a target glucose range of 140–180 mg/dL (7.8–10.0 mmol/L) is recommended for the majority of critically ill patients (American Diabetes Association, 2016). • D50 IVP PRN: Give ½ amp D50 for blood glucose 70 or less, hold insulin drip and repeat blood glucose check in 15 minutes. • Potassium Replacement Protocol: IV insulin leads to a dose-dependent decline in serum potas [Show More]

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