The nurse is preparing a 50 mL dose of 50% Dextrose IV for a client with insulin shock. How should the nurse administer the medication?<\/p>\n\n\n\n
A.
Ask the pharmacist to add the Dextrose to a TPN solution.<\/p>\n\n\n\n
B.
Mix the Dextrose in a 50 mL piggyback for a total volume of 100 mL.<\/p>\n\n\n\n
C.
Push the undiluted Dextrose slowly through the currently infusing IV.<\/p>\n\n\n\n
D.
Dilute the Dextrose in one liter of 0.9% Normal Saline solution.<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is:<\/p>\n\n\n\n C. Push the undiluted Dextrose slowly through the currently infusing IV.<\/strong><\/p>\n\n\n\n Explanation:<\/strong><\/p>\n\n\n\n In the case of insulin shock, which is also referred to as hypoglycemia or a severe drop in blood glucose levels, the immediate goal is to rapidly elevate the blood glucose level. The most appropriate treatment for insulin shock is the administration of a hypertonic dextrose solution, typically 50% dextrose in water (D50).<\/p>\n\n\n\n Option A: Ask the pharmacist to add the Dextrose to a TPN solution.<\/strong> Option B: Mix the Dextrose in a 50 mL piggyback for a total volume of 100 mL.<\/strong> Option D: Dilute the Dextrose in one liter of 0.9% Normal Saline solution.<\/strong> Option C: Push the undiluted Dextrose slowly through the currently infusing IV.<\/strong> In summary, administering the undiluted dextrose solution directly into the IV line is the most effective and timely method for addressing the acute hypoglycemic episode and rapidly elevating the blood glucose level.<\/p>\n","protected":false},"excerpt":{"rendered":" The nurse is preparing a 50 mL dose of 50% Dextrose IV for a client with insulin shock. How should the nurse administer the medication? A.Ask the pharmacist to add the Dextrose to a TPN solution. B.Mix the Dextrose in a 50 mL piggyback for a total volume of 100 mL. C.Push the undiluted Dextrose […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-139158","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139158","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=139158"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139158\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=139158"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=139158"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=139158"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
This option is not suitable because Total Parenteral Nutrition (TPN) is a complete nutritional solution intended for long-term nutritional support, not for the rapid correction of acute hypoglycemia. Additionally, it would delay the intervention needed for an acute condition.<\/p>\n\n\n\n
This approach would delay the onset of action as it involves diluting the dextrose solution. For acute management of hypoglycemia, a rapid effect is required, and diluting the dextrose would slow down the absorption and impact of the treatment.<\/p>\n\n\n\n
Diluting the dextrose in such a large volume is also inappropriate for acute hypoglycemia. It would not provide the immediate rise in blood glucose levels needed and could lead to complications or prolonged treatment time.<\/p>\n\n\n\n
This is the best option because administering undiluted 50% dextrose allows for rapid delivery of glucose directly into the bloodstream. The “push” technique involves administering the dextrose in a controlled manner, ensuring that it is delivered quickly but safely. Since 50% dextrose is a hypertonic solution, it should be administered carefully to avoid potential complications such as phlebitis or vein irritation. Monitoring the patient closely during administration is crucial.<\/p>\n\n\n\n