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Naplex16

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  1. A patient with newly diagnosed type 1 diabetes is going to be started on insulin at 0.6 units/kg/day. The patient is 5'6" and weighs 154 pounds. The physician wants to use a basal-bolus strategy with Levemir and NovoLog. What would be the recommended starting doses using Levemir and NovoLog?
  2. A patient injects himself with regular human insulin. He currently injects 5 units with breakfast, 7 units with lunch, and 11 units with dinner. He is going to be switched to insulin glulisine. How much glulisine will he inject with his dinner? Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.

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A patient with diabetes has been taking Novolog 70/30, 42 units twice daily. How many units of insulin aspart protamine does this patient inject each morning? Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.
 
1) 154POUND=70
70*0.6=42 U a day pt will use 21u novolog(divide per 3 times daily 10 min before food) and 21u levemir (at bedtime).

2)human to apidra rate is 1:1 units =11 un before dinner (before 10 min )

3) 70/30 means 70% aspart protamin and 30% aspart
42/2=21 u
aspart protamin=75*21/100=15.75=16u

hope I did right ,please feedback
 
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