The nurse is caring for a patient experiencing diabetic ketoacidosis. What actions should the nurse take when preparing this patient's insulin infusion?
Select all that apply.
1. Attach insulin infusion to an intravenous pump.
2. Have one ampule of Dextrose 10% at the bedside.
3. Flush the tubing with the insulin solution before connecting.
4. Prepare an infusion of Dextrose 5% and 0.45% normal saline.
5. Discontinue the infusion after first dose of subcutaneous insulin.
Correct Answer: 1, 3, 5
Insulin infusions are always administered using an intravenous pump. Flush the intravenous tubing with 50 mL of insulin mixed with normal saline solution to saturate binding sites on the tubing before administering the insulin to the patient. Do not discontinue the intravenous infusion until subcutaneous administration of insulin is resumed. Dextrose 50 should be kept at the bedside in the event of a hypoglycemic reaction. Dextrose 50 should be kept at the bedside in the event of a hypoglycemic reaction.
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