Lantus is a basal insulin. Basal insulin is NOT adjusted for PO intake, rather, the rapid acting insulins are adjusted based on the carbohydrate content of the meal or snack. Lantus is adjusted based on a pattern of morning glucose readings. If the p...
Glucose levels that high are definitely not dawn phenomenon. The child needs more insulin overall; I would contact the physician for sure. You mentioned that he gets Novolog per the bolus wizard, he should also be getting a basal infusion. Those rate...
dansingrn replied to aet111's topic in NP Students
I am a pediatric nurse practitioner working in an Integrative Pain Management department at a children's hospital. We do use Western medicine, but also incorporate massage, aromatherapy, diet, stress management, self-hypnosis, relaxation/meditation t...
dansingrn replied to Betty004's topic in NP Students
I went to a (mostly) online NP program. It required a GRE and a master's thesis before a panel of tenured faculty. The program was through a state university, and the professors were from the university's school of nursing, all PhD nurses. I don't un...
It's fine to prefill syringes with NPH, home health nurses have been prefilling for their patients who are blind or have dexterity problems for eons. It's important to remember with NPH that the suspension must be mixed as evenly as possible before f...
dansingrn replied to lovepink's topic in Endocrine
This is a question that even the insulin manufacturers struggle with. There are several factors, such as number of injections per day (number of times the rubber stopper is penetrated), temperature, sterility, etc. that can affect (however slightly) ...
dansingrn replied to abundantjoy07's topic in Endocrine
Omitting insulin causes the body to use fat rather than glucose for an energy source. Fat metabolism creates ketones (acids in the blood). Ketones cause nausea and vomiting, so that be one cause of nausea with missed insulin doses. Rapidly changing g...
Standard sick day management is to treat the hyperglycemia, adding even more insulin if ketones are present (even if NPO, even if vomiting!). Definitely needs insulin in presence of infection, so clarification with the provider is indicated here.
np2b - Do you have peds RN experience? PM me . . . I have a lead on a PNP position in your general region if you are willing to consider a subspecialty in a children's hospital.
dansingrn replied to Joe NightingMale's topic in NP
I'm an NP in chronic disease management. I work in peds with type 1 diabetes. (The answer is NOT ALWAYS fnp!!) The time to work on preventing complications is at diagnosis. Therefore, working in peds (as a peds specialist, not the broader fnp) hopefu...
dansingrn replied to KEVIN88GT's topic in Radiology
Absolutely this tech cannot be required by an employer to revert to injections! Contact the American Diabetes Association for details regarding discrimination against persons with diabetes.