Question

A client with type 1 diabetes must undergo bowel resection in the morning and is therefore npo. the client's capillary blood glucose (cbg) reading at 0630 is 315, and the insulin orders include insulin glargine 35 units daily in am and regular insulin 8 units for this cbg reading. how should the nurse proceed while caring for the client on the morning of surgery?

Answer 1

Answer:

Administer both the insulin glargine and the regular insulin doses.

Explanation:

The client with diabetes has to be injected with insulin. Based on the available types and compositions of insulin supplements available, the best option is for the nurse to give the patient the insulin glargine and the normal insulin supplements. This will ensure the flow of sugar to all parts of the body for energy generation.

Answer 2

It is essential for the nurse to raise blood glucose before starting, as it is dangerous to have a diabetic with low blood glucose (normally it is between 4.10 and 6 mmol/L).

Since pateint can not be fed orally, administration of glucose serum or nutrients will be parenteral.