A 6-year-old child with type 1 diabetes mellitus presents to…
A 6-year-old child with type 1 diabetes mellitus presents to the emergency department with cellulitis of the right hand after falling off his bike 2 weeks ago. The child was previously treated with oral antibiotics without improvement.Current vitals: BP 110/65 mmHg, HR 120, RR 22, Temp 98.2°F (36.7°C), O₂ sat 97% on room air, pain 8/10.The nurse administers pain medication and the first dose of IV antibiotics as ordered. Before lunch, the child’s blood glucose is 149 mg/dL. The meal tray contains 120 grams of carbohydrates. Aaron indicates that he will eat everything because he’s hungry. Provider Orders:Carbohydrate coverage: 1 unit of Humalog for every 30 g of carbohydratesIn addition to carbohydrate-based insulin, give insulin (Humalog) per sliding scale:If BG < 70 notify MD and give 15 gm of carbohydratesBG 150 – 175 give 1 unitBG 176 – 200 give 2 unitsBG 201 – 299 give 3 unitsIf BG > 300 notify MD and give 4 units After reviewing the electronic health record, how much insulin should the nurse administer?.