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✅ IV fluids: Rapid rehydration with isotonic saline (0.9% NS), then switch to
hypotonic fluids (0.45% NS) as needed.
✅ Insulin therapy: IV regular insulin to lower blood glucose gradually.
✅ Electrolyte correction: Monitor and replace potassium, sodium, and
phosphate as needed.
✅ Treat underlying cause: Infection (antibiotics), sepsis, myocardial
infarction, etc.
Choose an answer
Mixing insulins (clear before
1 HHS tx 2
cloudy)
3 Diabetes foot care education 4 HgbA1C normal range
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, Terms in this set (53)
✅ Only mix Regular (short-acting) + NPH
(intermediate-acting)
1. Roll NPH vial (do not shake).
2. Clean vial tops with alcohol.
Mixing insulins (clear 3. Inject air into NPH vial first, then
before cloudy) into Regular vial.
4. Draw Regular (clear) first, then NPH (cloudy) next.
5. Administer within 5-15 minutes.
Mnemonic: "RN" → Regular before NPH.
Subcutaneous (SQ) Injection Sites:
✅ Abdomen (best absorption)
✅ Upper arms (posterior)
✅ Thighs (anterior/lateral)
✅ Buttocks
Injection sites, rotation,
and why?
Why SQ Injection?
•Insulin absorbs steadily from subcutaneous fat.
•Avoid muscles used for exercise
•Rotate sites to prevent lipohypertrophy (fat tissue
buildup).
Regular (short-acting) insulin is used IV for DKA
DKA treatment
treatment
Hemoglobin A1c Measures average blood glucose over 3 months
HgbA1C normal range <5.7%.
HgbA1C Pre-Diabetes ✅ Prediabetes: 5.7-6.4%
range
✅ Diabetes: ≥6.5%.
HgbA1C diabetes range
✅ If A1C is high → Indicates poor blood sugar
control over time → Increased risk of complications.
Fasting Blood Glucose 70-99 mg/dL
(FPG) normal range