BG- 74, would you give or held insulin?

Madras · Feb 18, 2014

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 · Feb 21, 2014

I always use PacMan! He likes to eat big numbers. Still works 20 years after learning it.

ACTUALLY, it's an alligator :up:

BuckyBadgerRN, ASN, RN · Feb 21, 2014

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 · Feb 21, 2014

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 · Feb 23, 2014

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 · Feb 23, 2014

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