Ace the Certified Emergency Nurse (CEN) Challenge 2026 – Energize Your Nursing Future!

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How should regular insulin dosage be calculated for hyperglycemia treatment?

0.5 units per kg of body weight

1 unit per kg of body weight

0.1 unit per kg of body weight

The correct approach for calculating regular insulin dosage for treating hyperglycemia generally involves recognizing the body weight of the patient in conjunction with their individual needs and blood glucose levels. In clinical settings, a common practice is to administer a dosage of 0.1 units per kg of body weight, particularly in acute settings or when considering initial management for hyperglycemic patients.

This guideline aligns with conservative dosing to prevent the risk of hypoglycemia, especially since patients in emergency situations may have varying insulin sensitivities and underlying conditions that could affect their glucose metabolism. Understanding this principle aids in establishing a baseline while monitoring the patient's response for any necessary adjustments.

In contrast, higher dosing strategies, such as 0.5 or 1 unit per kg, may be applied in different contexts, such as in the management of diabetic ketoacidosis or other specific protocols, but they are not the standard recommendation for general hyperglycemia treatment in an acute care environment. This careful consideration of dosing is essential for safe and effective management of hyperglycemia.

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0.2 units per kg of body weight

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