The nurse instructs the client with diabetes mellitus about subcutaneous insulin administration. Which does the nurse include in client teaching?
1. Remember that NPH insulin peaks within 15 minutes.
2. Prepare for hyperglycemia 2 hours after taking insulin.
3. Keep insulin refrigerated after administering the first dose.
4. Eat right after taking regular insulin to avoid hypoglycemia.
4
4. Regular insulin peaks in 15 to 30 minutes after subcutaneous administration, so the client needs to eat right after administering the insulin to prevent a hypoglycemic emergency. Once it is administered, the insulin begins to drive glucose into the cells, resulting in a lower blood sugar; thus, if the client does not eat to sustain the blood sugar, the client becomes hypoglycemic.
1. NPH, an intermediate-acting insulin, peaks 2 to 6 hours after subcutaneous admin-istration.
2. Because insulin drives glucose into the cells, the blood sugar is more likely to drop after insulin administration than to increase.
3. The nurse teaches the client to store insulin at room temperature as long as the client is the only person using the insulin vial.
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