Name: Branden Johnson; Gender: Male; Age: 23; Marital Status:…

Question Answered step-by-step Name: Branden Johnson; Gender: Male; Age: 23; Marital Status:… Name: Branden Johnson; Gender: Male; Age: 23; Marital Status: SingleWeight: 220 lb (99.79 kg); Height: 73 inches; Race: Caucasian; Religion: : ChristianAllergies: None known; Immunizations Up to date; Major Support Name: Mrs. Johnson, Relationship: Mother, Phone: 951-262-3062Occupation: Programmer.; Address: New York, USA; Provider: Dr. Tyler, MD, and RN and Nursing AssistantHistory: Branden presents to the ER with nausea and vomiting for the past 4 hours, feels tired and confused, and feels short of breath. Branden tells the physician that he had been on a cruise for the past week and returned late last evening. He felt tired and slightly nauseous this morning but went out to eat a pancake breakfast with his girlfriend. When he returned home, he began vomiting and feeling short of breath. Upon examination, it was determined that the patient had fruity-smelling breath. Branden denies any past medical history other than an appendectomy at age 18.Medications: Insulin Regular Human on a high sliding scale 10 units subcutaneous Daily 0900Notes Vital signs: • Temperature 98.6 F • Pulse 72 • Respirations 26 • B/P 122/78 A serum blood glucose was ordered and resulted at 560 mg/dl.The patient was given 12 units of Insulin Regular Human in the ER. Recheck of a finger stick blood glucose resulted in 272 mg/dl.  The patient was admitted to the Med/Surg floor for frequent blood glucose monitoring and a possible Insulin IV drip. Delegation of obtaining finger stick blood glucose monitoring was given to the nursing assistant by the RN. The nursing assistant was observed getting the finger stick blood glucose without wearing gloves and throwing the sharp lancet in the trash can. Orders:Insulin Regular Human on a high sliding scale:High Dose Less than 70 mg/dl: Initiate Hypoglycemia Guidelines70 – 139 mg/dl: 0 units 140 – 180 mg/dl: 4 units subcutaneous181 – 240 mg/dl: 6 units subcutaneous241 – 300 mg/dl: 8 units subcutaneous301 – 350 mg/dl: 10 units subcutaneous351 – 400 mg/dl: 12 units subcutaneousGreater than 400 mg/dl: Notify providerNPH Human Insulin: 10 units subcutaneous daily In reference to Branden’s, what (if any) unsafe practices should the nurse report and possibly intervene?  Health Science Science Nursing Share QuestionEmailCopy link Comments (0)