Insulin
What is Best Practice Care while a patient with diabetes is hospitalized?
DC oral diabetes medication and provide insulin therapy
If your fasting blood sugar is less than 100 mg/dL? Is it normal, pre-diabetes or diabetes?
Normal
What is the goal at PVHMC to recheck hypoglycemia episode within 30 minutes of the Event?
85%
You check your patient's BS and your patient is awake, alert & oriented and his/her blood sugar is 65 and can swallow safely and NOT NPO? What is the right treatment?
Glucose gel 30gm PO STAT if refused give 8 oz of apple juice.
What is our glycemic Adult order set?
34571
What is a Long acting insulin that should not be held if a patient is NPO?
Lantus
If your 2Hr Plasma Glucose, is <140-199 (impaired glucose tolerance) is it Normal, Pre-diabetes/High risk for diabetes or Diabetes?
Pre-Diabetes or High Risk for Diabetes
What is the goal at PVHMC for completion of Diabetes Education?
Greater than 90%
You check your patient's blood sugar and is less than 60mg/dL and the patient is awake, alert & oriented or Level of Conscious at baseline and they can swallow safely or has NGT/GT? what is the correct treatment?
Glucose gel 30gm PO STAT. If refused or not available 8 oz of apple juice.
What are the 3 documents that you need when a patient comes in with an Insulin Pump to the hospital?
Patient Agreement
Self-Administration orders
Insulin Pump Record
What is an insulin that should be given with meals?
Prandial
If your Hemoglobin A1C% is > or equal to 6.5% is it normal, pre-diabetes, or diabetes?
Diabetes
What is the goal at PVHMC to reduce hyperglycemia?
Less than 29%
How many grams of carbs are in a 4oz juice?
15gm
Interactive view under Adult Education
Correct blood glucose
If you have a random plasma glucose mg DL greater than or equal to 200 with symptoms is normal, pre-diabetes, or diabetes?
Diabetes
What is the goal at PVHMC to schedule follow-up Diabetes appointment prior to discharge?
greater than 65%
You check your patient's blood sugar and is 67, the patient is confused not at his/her baseline and has IV access? what is the correct treatment?
Give Dextrose 50% (25ml)
When would you trigger diabetes education consult?
A1C> or equal to 9%
DKA
New Insulin Therapy
Insulin pump patients
Does PVHMC use concentrated insulin?
No
If your Hemoglobin A1C% is 5.7% - 6.4% is it normal, pre-diabetes, or diabetes?
Pre-diabetes
What is the target range for blood sugar for all Diabetes Patients in the presence or absence of Stroke?
140-180 mg/dL
You check your patient's blood sugar and is 54, the patient is confused or unconscious not able to swallow, he/she has IV access? what would be the correct treatment?
Dextrose 50% (50mL)
What are PVHMC Diabetes Clinical Practice Guidelines for diabetes?