Nurses Safety
Published Feb 14, 2014
Would you give insulin to pt with BG 74. Pt order is 6 units for BG >140.
Madras
270 Posts
Let me just say that I have always had a problem with the stupid signs. It goes back to elementary school for me and I developed a full blown math phobia. I missed a large portion of 2nd grade due to illness, struggled to catch up and them my father (45 yrs old) was diagnosed with terminal cancer when I was in the 4th grade.It was a rough few years and to this day I have to stop and think about those dumb things.....
I always use PacMan! He likes to eat big numbers. Still works 20 years after learning it.
SubSippi
911 Posts
ACTUALLY, it's an alligator
BuckyBadgerRN, ASN, RN
3,520 Posts
I always remember it as "if it points to the LEFT that's LESS---left/less" But that's just me!
The way I was taught to remember it is that the wider end goes with the bigger number. Makes sense that way, too- bigger side of the sign with bigger number.
DedHedRN
344 Posts
I think I smell a student.
No, I would not give insulin to a person with a BG of 74, when the order says to give when BG over 140.
pinkiepieRN
1 Article; 385 Posts
I *think* what OP is trying to get across is that a patient has a standing order for 5 units of insulin in addition to a sliding scale with parameters.
I've had this issue before and yes, I have held the standing order of insulin for a BS
TheCommuter, BSN, RN
102 Articles; 27,612 Posts
One of the internal medicine doctors at my workplace has a standard Novolog sliding scale that appears as follows:
1.
2. 71 to 100 = 2 units subcutaneously
3. 101 to 150 = 4 units subcutaneously
4. 151 to 200 = 6 units subcutaneously
5. 201 to 250 = 8 units subcutaneously
6. >250 = 10 units and call MD/DO