_ ‘etabi)'lisfh IEL) e B CHAPTER7 METABOLISM AND GLUCOSE REGULATION _CASE STUDY PROGRESS All orders have been corrected and therapies started. CJ. receives fluid resuscitati on and sliding.5ca|e insulin drip via infusion pump. After several hours, her latest lab findings are as sho wn in the ch_'a'rt_ Chart View Laboratory Test Results A Na 149 mEq/L (149 mmol/L) L} K 3.0 mEq/L (3.0 mmol/L) s cl 119 mEq/L (119 mmol/L) L Total CO, 21 mEq/L (21 mmol/L) ; BUN i 12 mg/dL (4.28 mmol/L) Creatinine 1.2 mg/dL (106 mcmol/L) Glucose 307 mg/dL (17 mmol/L) i NS 10. Based on C.J’s lab results, what changes in her IV fluids/would you anticipate, and why? W rode wouwd e reduced and fim TS added o Maintain BG ot 250 or wnti| o T¢ ous of Ketssis v STl oy e (AITAS, (Y101 L D)) 4 17 ) 4 3 = | & / /4 A 11. The attending changes the insulin drip infusion, decreasing it from 6 units to 4 units per hour. T’he’ 1abel on the bag infusing 1"ea,ds, ‘“100 units regular (Humulin- %msuhn in 250 mL of ~'/normal saline” At how many milliliters per hour would'you set the infusion pump? O.-ct v Lyuny o NPO LA | TGS %Q" 5ml ‘)\\f, e \\3 % O Caw . = 0 m — v ‘L\XQ -‘SW\\.\olw_ ™\ @ 12. What is the rationale behind using an infusion pump for the insulin drip? I'fugion pumps PrOVIAL More Comim\ over tne rok the med 15 Infused for Safur med adminishaion o & / ® @ 13. True or False? A second registered nurse or physician must verify the IV infusion rate for the insulin dose change. State your rationale. Trwe \Voingwin is a Nigh Ak meds ok requires %t Veifiation Trm anothee RN br Py . CASE STUDY OUTCOME C.J. continues to improve and is discharged from the hospital 3 days later. Her rr.lother ar?d she agree to_ attend an outpatient class offered by the diabetes education department to assist CJ. with better man aging her diabetes.
