CASE STUDY SCENARIO Samuel is a 52yearold Aboriginal male fr

CASE STUDY SCENARIO

Samuel is a 52-year-old, Aboriginal male from the Cree Community in Attawapiskat, who comes to the Emergency Department with his wife of 20 years. Samuel and his wife are Aboriginals and live on a reserve in Northern Ontario. Samuel has been complaining of nausea and vomiting over the last 3 days, and his wife states he seems confused at times. His blood sugar on arrival to the department is 21.6 mmol/L. The client has already been started on regular insulin (Humulin R) via SQ route, and he will be admitted for further investigation and diagnostic purpose.

This is a new diagnosis of diabetes for Samuel, and he is very anxious. Samuel is 5 feet 9 inches tall and weighs 177 pounds. He reports no form of regular exercise or special diet. Samuel’s daily diet entails carbohydrate dense foods and high glycemic index beverages. For the past 4 months, his wife has noticed that her husband has been very thirsty, and goes to the bathroom every 30 minutes.

Questions

The nurse is about to give a dose of Humulin R to Samuel. Another nurse enters the medication room and states, “That insulin is cloudy, do not use it.” The primary nurse responds by saying, “It is supposed to look this way.” Who is right?

Explain and References must be within 5 years

Solution

Should not use Humulin R ( Regular insulin) if it is cloudy or it has any lumps. Humulin R or Novolin R are same . The above are the references .