When I order it in split doses, I do ACBHS. I normally order it this way only for patients who require >50 units per dose. Our pharmacy gives us a notification that it is better absorbed in doses of 50 units or less, so we split it up. When pts go home and refuse to give themselves 5 injections daily (2 Lantus, 3 meal/correction) then I tell them to pull up their entire dose in one syringe (say, 90 units for example) and then prep 2 spots for injection...give some in one spot and some in another. Of course, we can't do it that way in the hospital, but it aids compliance after pts go home.
Dec 6, '12 by mammac5When I order it in split doses, I do ACBHS. I normally order it this way only for patients who require >50 units per dose. Our pharmacy gives us a notification that it is better absorbed in doses of 50 units or less, so we split it up. When pts go home and refuse to give themselves 5 injections daily (2 Lantus, 3 meal/correction) then I tell them to pull up their entire dose in one syringe (say, 90 units for example) and then prep 2 spots for injection...give some in one spot and some in another. Of course, we can't do it that way in the hospital, but it aids compliance after pts go home.