The client is a 26-year-old female with acute appendicitis. She has a 12-year history of type 1 diabetes and no other significant medical history. The appendectomy was completed without issue, and the client will be admitted to the surgical floor to recover.

0730

Admitted the client. She is awake and alert. She rates her pain 2/10. Her pulses are equal bilaterally. Heart rate is 76 beats per minute, normal sinus rhythm. Her oxygen saturation is 100% on room air. She has a gauze dressing over her surgical site, which is clean and dry. Her temperature is 98.5° F (37° C). She urinated 50 ml upon arrival in the unit and is stating she is very thirsty. The patient states her last insulin glargine dose was this morning before surgery.

0745

2 units insulin lispro given 1800
12 units insulin glargine given
The client ate 45 carbohydrates from her dinner tray. 3 units of insulin lispro given.

Admit to the surgical floor
Dextrose 5% and 0.9% sodium chloride to infuse at 125 mL/hr
Advance diet as tolerated
Insulin glargine 12 units subcutaneous every 12 hours
Ceftriaxone 2 g IV every 24 hours for 3 days, first dose given in surgery
Insulin lispro 1 unit subcutaneously per 15 carbohydrates

RN HESI NUTRITION ( 49 Questions)

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