Your 18-year-old patient, Ms. Dex, is a Type 1 diabetic, who arrived in the emergency department in diabetic ketoacidosis. Her blood glucose is over 1050 mg/dL. She received a bolus of isotonic fluid. The physician’s order reads:
Give regular insulin by continuous infusion at the rate of 0.2 units/kg/hour. Leslie weighs 132 lbs.

The medication is available in a solution of 200 units of regular insulin in 100 mL normal saline.

8) How many milliliters (MLS) of the insulin solution will Leslie receive over one hour?

9) The physician calls to inquire about the patient’s condition 1 hour and 30 minutes after the infusion starts. She asks how many units of the insulin have been delivered via the infusion. Calculate how many units of insulin Leslie will receive over 1 hour and 30 minutes (round to the nearest decimal)?

Ms. Dex’s blood glucose level has stabilized. There is a new order for a subcutaneous insulin injection, which reads:
“Check blood glucose levels before meals and at bedtime. For every 4 mg/dl over 140mg/dl, give one unit of Regular Humulin insulin, subcutaneously.”
The nurse knows that the smallest increment that can be drawn up in an insulin syringe is one unit (no partial units).

10) At 5:00 pm, Ms. Dex’s blood glucose level was measured at 172 mg per deciliter (mg/dl). How many units of insulin will the nurse administer via subcutaneous injection to the patient?

semen is the name of the fluid

low context culture   (lc.):

association:    

relationships begin and end quickly. many people can be inside one's circle; circle's boundary is not clear.

things get done by following procedures and paying attention to the goal.

one's identity is rooted in oneself and one's accomplishments.

social structure is decentralized; responsibility goes further down (is not concentrated at the top).

interaction:

low use of nonverbal elements. message is carried more by words than by nonverbal means.

verbal message is explicit. context is less important than words.

verbal message is direct; one spells things out exactly.

communication is seen as a way of exchanging information, ideas, and opinions.  

disagreement is depersonalized. one withdraws from conflict with another and gets on with the task. focus is on rational solutions, not personal ones. one can be explicit about another's bothersome behavior.

territoriality:

space is compartmentalized and privately owned; privacy is important, so people are farther apart.

temporality:

things are scheduled to be done at particular times, one thing at a time. what is important is that activity is done efficiently.

change is fast. one can make change and see immediate results.

time is a commodity to be spent or saved. one’s time is one’s own.

learning:

reality is fragmented and compartmentalized. one source of information is used to develop knowledge. thinking is inductive, proceeds from specific to general. focus is on detail.

learning occurs by following explicit directions and explanations of others.

an individual orientation is preferred for learning and problem solving.

speed is valued. how efficiently something is learned is important.

hope that                                         : )