The labor nurse is providing care to a patient at 37 weeks' gestation who is an insulin-dependent diabetic
The health care provider prescribes an infusion of insulin throughout her induction to be titrated to keep her blood glucose levels below 110 mg/dL. What type of insulin will the nurse select to prepare the infusion?
a. NPH insulin
b. Regular insulin
c. Lispro (Humalog)
d. Aspart (Novolog)
ANS: B
Continuous infusion of a regular insulin solution combined with a separate intravenous solution containing glucose, such as 5% dextrose in Ringer's lactate, allows titration to maintain blood glucose levels between 80 and 110 mg/dL, or as designated by facility policy. The insulin solution is raised, lowered, or discontinued to maintain euglycemia based on hourly capillary blood glucose levels.
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