The nurse is administering an 0800 dose of NPH insulin to an insulin dependent diabetic child. Based on when the insulin peaks, the child would be at greatest risk for a hypoglycemic episode between:
1. Breakfast and lunch.
2. Bedtime and breakfast the next morning.
3. 0830 to a mid-morning snack.
4. Lunch and dinner.
4
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1. A hypoglycemic reaction between breakfast and lunch would be associated with a short-acting insulin.
2. Between bedtime to breakfast the next morning would be associated with a long-acting insulin.
3. The 0830 to mid-morning hypoglycemia would be related to a rapid-acting insulin.
4. NPH is an intermediate-acting insulin that peaks in 6-12 hours. If administered at 0800, the risk of a hypoglycemic reaction would be at its peak between lunch and dinner.
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