Bg upon arrival was 1300. pt was unresponsive, kussmaul breathing, fever, ketones in urine. Maintaining sat's on 4lt of 0's via n/c. Tachy at about 112-130.
Nurse giving report had the pt on an insulin gtt at 8u per hour. She had not repeated a finger stick bg in 3 hours. When I did a finger stick the bg came up as 146...Lab repeated and it came back as 555.
What is your policy on insulin drips and bg checks? If you don't have a policy what is your practice?
