Lantus insulin question

Just wondering about the insulin Lantus.... It seems about 90% of the nurses on my unit would hold lantus if a blood glucose was ..say maybe 45? Were they not taught that Lantus is a basal insulin and you should NEVER hold it. I would give it if their glucose was 20! I was taught to never hold it and I hate to say anything bc I'm a fairly new nurse. Anyone ever heard of such a thing?

yes call the MD but just don't hold it..........

I'm with FireWolf on this one. I would notify the MD of the blood glucose level and see if she/he wants to adjust the dose, especially if it's a high dose. Also one has to look at the other glucose levels throughout the day. Obviously the Lantus isn't going to affect the 45 and drop it, but you have to critically think "what's been going on the last 24 hours, and what will happen the next 24 hours?"

Nurses are not licensed to hold drugs without an MD or parameters. Obviously using good common sense we don't blindly give drugs either.

Agreed, holding a diabetic's Lantus insulin is not an option. Those who hold it, treat the low blood sugar and then go about their business are committing an error.