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This document is an Insulin and BMT Record (Blood Glucose Monitoring and Treatment) for patient Mrs. Roddick, used to track blood glucose levels and insulin administration. Since no specific blood glucose levels are provided to plot, here's how you would use this chart to record and manage insulin based on readings: Step 1: Understand the chart's sections. • The left column lists Isophane (long-acting insulin) doses (e.g., 16 units, 14 units). • The main grid's top row displays various Blood Glucose Levels (BGLs), likely in mmol/L (2-30) and mg/dL (50-540). • The rows below the BGL scale are for recording Actrapid (short-acting insulin) doses. • The right section records the Day #, Time of the reading (e.g., 7 and 5, likely 7 AM and 5 PM), and whether the patient was Fasting. Step 2: Recording Isophane insulin administration. The "UNITS GIVEN" column on the far left indicates the prescribed fixed doses of Isophane insulin. When a dose is administered, the nurse would mark or initial the row corresponding to the given dose. Step 3: Recording blood glucose levels. When a blood glucose level is measured at a specific time (e.g., 7 AM or 5 PM): • Locate the measured BGL in the top row of the main grid. • Mark the corresponding column in the grid (e.g., with a dot or 'X') for that specific time slot. • Record the Day # and Time in the columns on the right. If applicable, mark the Fast column. Step 4: Determining and recording Actrapid insulin dosage. Actrapid is administered based on a "sliding scale" linked to the measured BGL. • After marking the BGL (as in Step 3), refer to the rows under "ACTRAPID" in the same column. These rows would typically contain the prescribed Actrapid dose for that specific BGL. (Note: The specific Actrapid doses for each BGL are not filled in on this blank form). • Once the dose is determined, administer it and record the number of Actrapid units given in the appropriate row and column on the chart. For example, if a BGL of 10 mmol/L requires 4 units of Actrapid, you would mark the '10' column and write '4 units' in the Actrapid row for that time. Send me the next one 📸