INSULIN REACTION


Scenario: Tammy is hypoglycemic
(SEE IMAGE BELOW FOR TAMMY'S HISTORY)

Assessment:
The nurse arrived and did an assessment. She noticed Tammy was anxious and shaky. She was also diaphoretic (sweating excessively).

Intervention:
The nurse checked the blood glucose by finger stick and noted a result of 58. She checked the doctor's sliding scale orders and gave Tammy 4oz of apple juice. She then notified the doctor as ordered.

Note for Nurses:
See an example of a sliding scale for finger stick values above along with their suggested treatments. Please note this is only a sample.


 Scenario:
 Tammy is a 19 year old female who was diagnosed with
Type 1 Diabetes a year ago. Today she is scheduled for the OR,
to have a hernia repair. She has not eaten since midnight. The
nurse forgot to hold her Insulin and gave her 10 units of Regular Insulin.
Read the above scenario for assessment.

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