A patient receives insulin lispro before breakfast but then becomes unable to eat because of vomiting. Which action should the nurse take first?
Correct answer: B. Check the blood glucose and notify the prescriber
- A. Give the usual dose of NPH insulin
- B. Check the blood glucose and notify the prescriber
- C. Encourage the patient to walk before breakfast
- D. Administer another dose of rapid-acting insulin
Explanation
Insulin lispro acts rapidly, and giving it without food can cause hypoglycaemia. The nurse should check the glucose promptly and inform the prescriber while following the facility protocol for withheld meals and insulin.
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About Endocrine and Diabetes Drugs
Endocrine pharmacology includes insulin preparations, oral antidiabetic drugs, thyroid and antithyroid medicines, corticosteroids, sex hormones and drugs affecting calcium balance. Questions address onset and duration, administration, monitoring, hypoglycaemia, steroid adverse effects and the difference between replacing a deficient hormone and suppressing excessive hormone activity.
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