DIABETES JEOPARDY

HOSPITAL POLICY

100

Describe the insulin teaching workflow for new insulin orders.

1. Remove new vial from Pyxis

2. Label vial with patient label and "FOR TEACHING ONLY" label

3. Take vial and syringe in patient room for teaching

4. When completed, dispose syringe and return to vial to pyxis specific bin

200

According to NSG 16-13, what is the role of the bedside nurse when it comes to diabetes education?

Basic diabetes survival skill education needs (hyperglycemia, hypoglycemia, insulin administration, self-monitoring of blood glucose)

300

Since switching to community vials, how much money has the hospital saved?

$1.5 million 

400

Where can you go to find the discharge milestones in EPIC?

PER report

Navigator 

Care Plan

500

The diabetes kit is in the room. You need to teach the patient how to set up and use the glucometer. What steps are you going to walk through.

Open kit, set up time, date and language. Assemble lancing device, use test strip and allow pt to check own BG

CASE STUDIES

100

Per the HYPGLYCEMIA PROTOCOL, you check a BG at 53mg/dL, how many ounces of juice do you treat with?

How long do you wait to re check the BG

8oz, 15 minutes

200

Diabetes pt is going to a procedure and has been NPO all night. CBG taken and its 80mg/dL @ 0800. There is an active order for NPH to be given now.

Do you still give the NPH? 

Should you call MD if you used your nursing judgment to hold insulin?

YES; YES

300

Patient T.H. has Type 1 Diabetes and is NPO for a procedure today.Pt has AM Lantus 30 units scheduled. His AM blood sugar is 180 and his mid-day blood sugar is 95. He went for his procedure and returned at 1700. A diet is ordered for him for dinner.

His blood sugar prior to dinner is 75. Does this patient need a full mealtime bolus dose?

YES

400

Describe how you would teach a new insulin patient the insulin process.

Roll vial, how to draw up, where to inject, rotating sites, how to self-inject 

500

A patient refuses to eat lunch. The blood sugar prior to lunch is 203mg/dl. Do you give the patient any insulin? If so, what kind of insulin?

YES! Correctional insulin

BASIC DIABETES

100

What is correction insulin used for?

Used to correct blood glucose levels that are higher than the target range.

200

Why would you hold bolus insulin?

When patient is NPO or not eating meals. (Aspart, Regular/Correctional)

Refusal

Emesis

CBG trending low

Always notify provider

300

Where can a patient get insulin for $24.88? Which kinds of insulin?

Walmart

70/30, NPH, Regular

400

TRUE OR FALSE- If a patient is wearing a continuous glucose monitor, you are allowed to use the CGM readings for treatment decisions. 

FALSE

500

What is the ideal blood sugar target range for non-critical medical/surgical units.

Premeal - less than 140

Maximal- less than 180