For a patient with glucose 301-350 mg/dL on sliding-scale lispro, how many units should be given for 301-350 mg/dL?

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Multiple Choice

For a patient with glucose 301-350 mg/dL on sliding-scale lispro, how many units should be given for 301-350 mg/dL?

Explanation:
Sliding-scale insulin dosing uses a chart that assigns a correction dose of rapid-acting insulin based on the current blood glucose. For a reading in the 301-350 mg/dL range, the protocol used here specifies 10 units of lispro. This dose aims to bring the glucose toward the target range promptly while staying within safe limits. A smaller dose might not reduce hyperglycemia adequately, whereas a larger dose could raise the risk of hypoglycemia, especially if meals are delayed or intake varies. Lispro acts quickly to correct elevations, and glucose should be rechecked according to the protocol after administration, with adjustments made for ongoing intake and overall insulin management.

Sliding-scale insulin dosing uses a chart that assigns a correction dose of rapid-acting insulin based on the current blood glucose. For a reading in the 301-350 mg/dL range, the protocol used here specifies 10 units of lispro. This dose aims to bring the glucose toward the target range promptly while staying within safe limits. A smaller dose might not reduce hyperglycemia adequately, whereas a larger dose could raise the risk of hypoglycemia, especially if meals are delayed or intake varies. Lispro acts quickly to correct elevations, and glucose should be rechecked according to the protocol after administration, with adjustments made for ongoing intake and overall insulin management.

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