Assessing
Patients who have absolute insulin deficiency.
What are type 1 diabetics?
Basal/Correction order is used for this patient.
What GM order is selected for the patient that is NPO or receiving continuous tube feeding?
One suggestion in this case is to do BG checks AC & HS and to call if 2 are greater than 180.
What order is available for that patient who may not be appropriate for GM - ie. the insulin naive patient, patient with A1c <6.5, diet controlled diabetic?
Insulin is best absorbed when given here.
What is the abdomen?
These patients have relative insulin deficiency.
What are type 2 diabetics?
I need _________ any time the insulin dose GM recommends is held or edited.
When do I need a physician order when administering insulin with GM recommended dose?
This is the preferred administration time(s) for basal insulin to be given on the medsurg units.
What is 8am for QAM, 8pm for QHS, and 8am/8pm for BID doses? (OR for cardiac post ohs - 9am/9pm)
The time limit for performing this action in GM is Ten Minutes.
How long do I have to Edit (void) my BG entry in GM?
This VALUE or NUMBER tells us that patient is non-diabetic or very well controlled diabetic.
What is HgA1c less than 6.5?
On initial entry of glucommander order the ________________ is found under dashboard notes.
Where can we find the Independent Double Verification (IDV) by another RN?
This answer is found by dividing the total daily dose (TDD) by patient's weight in kg.
How can I find the current multiplier?
This is the amount of insulin necessary to regulate blood glucose when completely NPO (Approx 0.8-1 unit/hr).
What is basal insulin?
Patient diagnosis, home meds, diet adherence and exercise routines tell us this.
What assessments do you look for to determine if patient is compliant diabetic?
Documenting "Dose Administered" on GM dashboard charts amount of insulin given and does not allow nurse to _______ the dose given.
How can I edit dose given if I entered dose administered in GM?
The total of all basal, bolus and correction doses of insulin given in 24 hrs (6am-6am each day).
What does total daily dose (TDD) on the GM dashboard mean?
This is the amount of insulin needed before a meal to regulate blood glucose rise after eating.
What is Bolus insulin?
Patient's age, family hx, ethnicity, and also, conditions such as Obesity, pancreatitis, liver failure, hypothermia, hypoxia, Sepsis, medications, TPN
What conditions put patient at risk for hyperglycemia?
These orders at either 4 hour or 6 hour intervals include scheduled basal dose(s) plus correction doses .
What is Basal/Correction Subcutaneous Orders for GM?
When the patient's BG is >500 or <20.
What are the Meter Max and Meter Min Buttons on the GM Dashboard for?
Lactic acidosis is a side effect of this oral diabetic medication.
What is a major side effect of metformin?