A 26-year-old male client is brought by his wife to the emergency department (ED) unconscious. Blood is drawn for a stat blood count (CBC), fasting blood sugar level, and electrolytes. An indwelling urinary catheter is inserted. He has a history of type 1 diabetes (insulindependent diabetes mellitus [IDDM]). A diagnosis of ketoacidosis is made. Stat lab values reveal a blood sugar level of 520 mg/dL. Which of the following should the nurse expect to administer in the ER?
A patient in diabetic ketoacidosis requires prompt administration of insulin to decrease blood sugar levels rapidly. Regular insulin is the fastest-acting insulin and, when delivered intravenously, it begins to work almost immediately to lower blood sugar levels. Therefore, the appropriate action is to administer regular insulin by IV infusion. Other options, such as D50W or sweetened grape juice, would increase the patient's blood sugar, and NPH insulin would not act quickly enough to address the urgent situation.
C only regular insulin cab be administer by IV for fasting act