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Chapter 20: Insulin

COMPLETION

1. Directions: Calculate the dosage and shade in the dosage on the syringe where provided.

Order: Regular Humulin Insulin U-100 12 units subcut stat


Available:

a. What will you administer using this syringe? _____


Shade in the appropriate dosage on the syringe.

b. What will you administer using this syringe? _____


Shade in the appropriate dosage on the syringe.

ANS:

a. 12 units in 50-unit syringe

b. 12 units in 100-unit syringe

PTS: 1 MSC: Injectables

2. Directions: Calculate the dosage and shade in the dosage on the syringe where provided.

Order: Humalog 75/25 U-100 27 units subcut at 7:30 AM


Available:
What will you administer using this syringe? _____
Shade in the appropriate dosage on the syringe.

ANS:

27 units

PTS: 1 MSC: Injectables

3. Directions: Calculate the dosage and shade in the dosage on the syringe where provided.

A client is on a sliding scale for insulin dosages q6h. The order is for Humulin Regular U-100
subcut q6h as follows:

Change to new label, see control sheet


Blood Glucose Level
(mg per dL) Regular Insulin
Less than 70 Call MD
201-250 4 units
251-300 6 units
301-350 8 units
351-400 10 units
Greater than 400 Call MD

a. At 8:00 AM the client's blood sugar is 384 mg/dL. Shade in the syringe with the appropriate
dosage.

b. At 2:00 PM the client's blood sugar is 310 mg/dL. Shade in the syringe with the appropriate
dosage.

ANS:

a. 10 units

b. 8 units

PTS: 1 MSC: Injectables

4. Directions: Calculate the dosage and shade in the dosage on the syringe where provided.

Order: Novolin Regular U-100 10 units subcut and Novolin NPH U-100 18 units subcut stat
Available:
a. What will you administer? _____
b. Explain the method for mixing two insulins: ______________________________
c. Shade in the appropriate dosage on the syringe provided.

ANS:

a. 28 units
b. Inject 18 units of air into the NPH insulin bottle and 10 units of air into the regular insulin.
Withdraw 10 units of regular insulin and then 18 units of NPH insulin for a total of 28 units of
insulin.
c.

PTS: 1 MSC: Injectables

5. Directions: Calculate the dosage and shade in the dosage on the syringe where provided.
a. What does the R on the label identify? _______________
b. Is this a short- or long-acting insulin? _______________
c. What is the total volume of the vial? _____
d. What is the dosage strength of the insulin? _______________

ANS:

a. Regular insulin
b. Short-acting
c. 10 mL
d. 100 units per mL

PTS: 1 MSC: Injectables

6. Directions: Calculate the dosage and shade in the dosage on the syringe where provided.

a. Trade name: _______________


b. Generic name: _______________
c. Directions for use: _______________
d. Is this a short or long-acting insulin? __________

ANS:

a. Levemir
b. detemir
c. For subcutaneous use only.
d. Long-acting

PTS: 1 MSC: Injectables

7. Directions: Fill in the correct number or word(s).


U-100 on the label of an insulin vial means: ______________________________.

ANS: concentration per milliliter (100 units per mL)

PTS: 1 MSC: Injectables

8. Directions: Fill in the correct number or word(s).


What is the difference between the calibration of units on the 1-mL insulin syringe and on the
Lo-Dose syringe? ______________________________

ANS: On the 1-mL insulin syringe, each calibration is 2 units; on the Lo-Dose syringe, each
calibration is 1 unit.

PTS: 1 MSC: Injectables

9. Directions: Fill in the correct number or word(s).


Order: Lantus U-100 insulin 68 units subcut daily at 8:00 AM
Available:

What will you administer using this syringe? ________


Shade in the appropriate dosage on the syringe.
ANS:

68 units

PTS: 1

10. Directions: Fill in the correct number or word(s).


Order: Humulin Regular U- 500 units 240 units subcut stat
Available:

a. What is the concentration of the insulin? ____________


b. Is this a short-acting or long-acting insulin? _____________
c. What will you administer using a 1 mL syringe? _________
d. Shade in the appropriate dosage on the syringe

e. Calculate the dose and shade it in using a U-100 insulin syringe

ANS:

a. 500 units per mL


b. Short-acting
c. 0.48 mL
d.

e. 48 units

PTS: 1

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