insulin help!!

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I'm a new nurse and slightly confused. Should I hold AC insulin if blood sugar is below 70mg/dl but they are going to be eating a meal? Or would I administer the AC dose after the meal? As well as the lantus dose, what would I do? I just need advice. Thanksssss :)

op, this is a hard set of circumstances. what you need is policy. although this is not much help to you in an acute set of circumstances, it is an opportunity for you to approach your manager and get policy written to cover your hind end should this situation arise again (and it will, over and over again).

that being said, if you feel like you need to call, and your manager or charge nurse is no help, call. trust me if the patient's blood sugar dumps and there is irreparable damage or death the doc will throw you to wolves like a piece of hamburger to save his skin and say you should have called. if you get a chewing, so what?

amen :)

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