Which of the following statements is true about insulin and parenteral nutrition? (Select all that apply.)
a. Amount of parenteral insulin is adjusted based on the previous 24-hour laboratory values.
b. Insulin may be added to a parenteral nutrition solution.
c. Subcutaneous insulin is used on a sliding scale during parenteral nutrition.
d. Supplemental insulin is rarely required for patients receiving parenteral nutrition.
A, B, C
Hyperglycemia is common when receiving parenteral nutrition; insulin may be administered on a sliding scale for glucose control and/or added to the parenteral solution. Amount of insulin added to the parenteral solution is calculated based on the previous 24-hour laboratory values.
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