A 35-year-old patient with type 1 diabetes is in the hospital following surgery. The patient has an order for combination insulin therapy to be administered on a sliding scale depending on his blood glucose levels. The nurse uses a rapid-acting insulin to achieve short term control and mixes it with another type. Which type of insulin may be used in combination with rapid-acting insulin for this type of therapy?

 

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Correct

- Intermediate-acting (NPH)

- Long-acting (Lantus)

- Regular (Humulin R)

- Short-acting (Novolin R)

Rationale

"Intermediate-acting (NPH)" is correct. Intermediate-acting insulin has a range of duration that is between the short-acting and long-acting types of insulin. Intermediate insulin, such as NPH, is the only type of insulin that can be added to a short- or rapid-acting insulin to be used as part of combination insulin therapy.

"Long-acting (Lantus)" is incorrect because glargine (Lantus) should never be mixed with any other insulin.

"Regular (Humulin R)" and "Short-acting (Novolin R)" are incorrect because they are both short-acting insulins that cannot be combined with a rapid-acting insulin.


To make better decisions, you need to see the big picture. (2017, December 12). Retrieved from https://ihsmarkit.com/research-analysis/diabetes-insulin-treatment-regimens-and-patient-adherence.html

References:
Silvestri, L. A. (2017). Saunders comprehensive review for the NCLEX-RN examination. St. Louis, MO: Elsevier

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Question ID - 16287

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