Is this common? - page 2

Okay have a 64yom, with qid accuchecks.. s/s 151-199 1 unit novalog.. He also recieved 10units of lantus @ 9p. Sent Res. out to hospital for altered mental status, came back yesterday with... Read More

  1. by   SarasLPN
    At our facility SS starts at 200. Our medical director wants everyone on the same scale to help rule out insulin errors. However there are a few who have special orders.
  2. by   stelarRN
    i have a pt right now whose sliding scale starts at 70 (70-100, 2 units).
  3. by   Finallydidit
    NP came back in on Friday and after much encouragement agreed to change his s/s back the the 150-199 1unit, started him back on his lantus, but kept the metformin and yes she left it @ hs..... So who knows, at times I fell like I just work there!!! But I am very happy that she finally agreed to go back to his origional s/s
  4. by   morte
    Quote from Finallydidit
    NP came back in on Friday and after much encouragement agreed to change his s/s back the the 150-199 1unit, started him back on his lantus, but kept the metformin and yes she left it @ hs..... So who knows, at times I fell like I just work there!!! But I am very happy that she finally agreed to go back to his origional s/s
    i was more concerned about the metformin at HS than the sliding scale, look it up in your drug handbook, "with meals" i think is what it will say.....if he is not low in the am, perhaps the metformin is NOT DOING ANYTHING.
  5. by   morte
    Quote from Finallydidit
    NP came back in on Friday and after much encouragement agreed to change his s/s back the the 150-199 1unit, started him back on his lantus, but kept the metformin and yes she left it @ hs..... So who knows, at times I fell like I just work there!!! But I am very happy that she finally agreed to go back to his origional s/s
    i was more concerned about the metformin at HS...what was her rationale for that?

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