INJECTIONS
Rapid-acting insulin used for prandial and correctional dosing.
What is lispro/Humalog/Admelog?
ECU Health’s algorithm-based IV insulin infusion platform.
What is Glucommander?
Should NEVER be held without contacting a provider.
What is basal insulin/Lantus?
Dizziness, shakiness, altered mental status, diaphoresis, weakness, headache, and hunger
What are symptoms of hypoglycemia?
This is a nurse-driven treatment protocol.
What is the hypoglycemia algorithm?
Insulin given in relation to a meal.
What is mealtime/prandial/bolus insulin?
Must be started within 10 minutes of a GM patient beginning a meal with > 30 carbohydrates.
What is a meal bolus?
Hold if the calculated dose is < 1 unit.
What is correctional/sensitivity factor insulin?
Definition of hypoglycemia for a non-pregnant adult patient.
What is POC FSBS < 70?
Dose calculation for correctional/sensitivity factor insulin.
What is Current FSBS -- Target FSBS / ISF?
Given to correct hyperglycemia, regardless of PO intake.
What is correctional/sensitivity factor insulin?
Insulin used for IV administration, including infusions.
What is regular insulin?
Hold if the patient is NPO or will not be eating a meal.
What is prandial/mealtime/bolus insulin?
How long you should wait to recheck a patient's POC FSBS after correction for hypoglycemia.
What is 15 minutes?
Definition of hypoglycemia for a pregnant adult patient.
What is POC FSBS < 60?
Dosing, often used in patients w/ T1DM, that requires the nurse to enter the number of carbohydrates included in a patient’s meal.
What is insulin: carbohydrate ratio?
Number set by the provider that determines how aggressively the Glucommander algorithm works to lower the patient’s blood sugar.
What is the multiplier?
Patients with this type of diabetes must have basal insulin.
What is Type 1 Diabetes?
Use this part of the EHR to document details about a hypoglycemic event.
What is the Glucose Management tab on the Flowsheet?
Use this system to report any hypoglycemic events.
What is Safe Now?
Preferred inpatient subcutaneous insulin regimen.
What is basal + bolus + correctional?
This lab value must be >/= 3.3 to safely initiate and continue Glucommander.
What is potassium?
Giving insulin just after patient finishes their meal, based on percentage (%) of meal eaten.
What is graduated dosing?
Follow this protocol to treat an adult patient with a low blood sugar.
What is the hypoglycemia algorithm?
How much 1 unit of rapid-acting insulin will lower a patient's blood sugar.
What is insulin sensitivity factor (ISF)?