Intravenous Insulin Administration: Assessing Nurse AJ’s Evaluation for Rita’s High Blood Sugar

Introduction :

Intravenous insulin administration is a critical intervention for managing severely elevated blood sugar levels, as seen in Rita’s case with a blood sugar reading of 563. Nurse AJ has administered insulin lispro (Humalog) intravenously (IV) as ordered by Dr. Shrunk. To ensure Rita’s safety and optimal diabetes management, Nurse AJ must carefully evaluate the effectiveness and impact of this intervention. In this comprehensive guide, we will assess the best evaluation Nurse AJ should conduct to determine Rita’s response to IV insulin administration.

Evaluation of Nurse AJ’s Actions:

  1. Blood Sugar Monitoring:
    • Evaluation: Nurse AJ should continue to monitor Rita’s blood sugar levels closely at regular intervals, typically every 30 minutes to an hour. The evaluation reveals that Nurse AJ is vigilant in tracking Rita’s response to IV insulin.
  2. Response to Insulin Administration:
    • Evaluation: Nurse AJ should assess how rapidly Rita’s blood sugar levels are decreasing in response to IV insulin. Evaluation includes determining whether there is an initial decrease and if the rate of decrease is within the expected range.
  3. Potential Hypoglycemia Risk:
    • Evaluation: Nurse AJ should be attentive to signs and symptoms of hypoglycemia, especially if blood sugar levels decrease rapidly. This includes assessing for symptoms like sweating, shakiness, confusion, or dizziness, which indicate the need for immediate intervention.
  4. Assessment of Rita’s Vital Signs:
    • Evaluation: Vital signs, including heart rate, blood pressure, and respiratory rate, should be monitored regularly. Nurse AJ’s evaluation should ensure that these vital signs remain stable and do not indicate any adverse effects of insulin administration, such as hypotension.
  5. Patient Comfort and Well-being:
    • Evaluation: Nurse AJ should assess Rita’s comfort level and overall well-being throughout the IV insulin administration. Evaluation includes asking Rita about any discomfort, pain, or unusual sensations and addressing any concerns promptly.
  6. Fluid Balance:
    • Evaluation: Nurse AJ should evaluate Rita’s fluid balance by monitoring her intake and output. Intravenous insulin can affect fluid balance, so it’s crucial to assess for signs of dehydration or fluid overload.
  7. Documentation of IV Insulin Administration:
    • Evaluation: Accurate and detailed documentation of the IV insulin administration, including the dose, time, and any observed effects, is essential. Nurse AJ’s evaluation should ensure that all relevant information is documented correctly in Rita’s medical records.
  8. Communication with the Healthcare Team:
    • Evaluation: Nurse AJ should maintain open and effective communication with Dr. Shrunk and other members of the healthcare team regarding Rita’s response to IV insulin. Evaluation includes reporting any unexpected changes or issues promptly.
  9. Patient Education and Informed Consent:
    • Evaluation: Nurse AJ’s evaluation should include confirming that Rita has been informed about the IV insulin administration, its purpose, potential risks, and benefits. Rita’s understanding and informed consent should be assessed.
  10. Response to Hypoglycemia Treatment (if needed):
    • Evaluation: In case of hypoglycemia or signs of low blood sugar, Nurse AJ should evaluate how Rita responds to treatment, such as oral glucose or intravenous dextrose. The evaluation includes ensuring that Rita’s blood sugar stabilizes within a safe range.


Nurse AJ’s evaluation is a crucial component of Rita’s care following the intravenous administration of insulin lispro for her elevated blood sugar levels. Effective evaluation involves ongoing monitoring of blood sugar, response to insulin, potential hypoglycemia risk, vital signs, patient comfort, fluid balance, documentation, communication with the healthcare team, patient education, and response to hypoglycemia treatment. This comprehensive assessment ensures Rita’s safety and optimal diabetes management.


Approximately 250 words

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