Question

Which of the following statements is true about insulin and parenteral nutrition? (Select all that apply.)

a. The amount of parenteral insulin is adjusted based on the previous 24-hour laboratory values.
b. Insulin may be added to a parenteral nutrition solution.
c. Subcutaneous insulin is used on a sliding scale during parenteral nutrition.
d. Supplemental insulin is rarely required for patients receiving parenteral nutrition.
e. Lingering hyperglycemia after parenteral nutrition has stopped requires continuing insulin.

Answer 1

Insulin may be added to a parenteral nutrition solution and the amount of parenteral insulin is adjusted based on laboratory values. Supplemental insulin may be required for patients receiving parenteral nutrition, but there should not be lingering hyperglycemia after parenteral nutrition has stopped.

Step-by-step explanation:

Insulin may be added to a parenteral nutrition (PN) solution, so statement b is true. Statement c is false because subcutaneous insulin is not used on a sliding scale during parenteral nutrition. Instead, the amount of parenteral insulin is adjusted based on the patient's laboratory values to maintain proper blood glucose levels. Supplemental insulin is often required for patients receiving parenteral nutrition, so statement d is false. Finally, when parenteral nutrition has stopped, there should not be lingering hyperglycemia, so statement e is false.