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assessment. Finally, make a recommendation by choosing the most appropriate option below. Choose the most appropriate option. I have a sliding scale order with directions to call for a dose if the patient's blood glucose is over 350 . I recommend a dose of insulin glargine. I have a sliding scale order with directions to call for a dose if the patient's blood glucose is over 350. I recommend a dose of NPH.

Ask by Crawford Murphy. in the United States
Jan 21,2025

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I recommend a dose of NPH.

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To make a recommendation regarding the appropriate insulin to administer based on the sliding scale order for a patient with a blood glucose level over 350, we need to consider the characteristics of the two types of insulin mentioned: insulin glargine and NPH (Neutral Protamine Hagedorn). 1. **Insulin Glargine**: - It is a long-acting insulin. - It provides a steady level of insulin over a 24-hour period. - It is typically used for basal insulin coverage and is not usually used for acute corrections of high blood glucose levels. 2. **NPH (Neutral Protamine Hagedorn)**: - It is an intermediate-acting insulin. - It has a peak action time, which makes it suitable for managing blood glucose levels that are elevated. - It can be used for sliding scale coverage to correct high blood glucose levels. Given that the sliding scale order is specifically for managing acute elevations in blood glucose (in this case, over 350), the more appropriate choice would be NPH, as it is designed to provide a more immediate correction for high blood glucose levels. ### Recommendation: I recommend a dose of NPH.

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Insulin glargine is a long-acting insulin, typically administered to maintain stable blood glucose levels over time. It's designed to provide a consistent release of insulin, making it an ideal choice for basal coverage. However, if you need to manage hyperglycemia that occurs suddenly, NPH (Neutral Protamine Hagedorn) is often recommended due to its intermediate duration of action and ability to cover meals and reduce postprandial spikes. When managing high blood glucose, it's crucial to consider how quickly you need to see results. NPH may act faster to bring down elevated levels, making it a more appropriate option in scenarios requiring urgent intervention. If you're following sliding scale protocols, quick response is key—NPH could be your go-to!

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