Myxel67

BG values associated with HHS range from 600 to 2000 mg/dl. So pt with BG in 700's might not yet have the level of dehydration associated with HHS. Most pt's I have seen with HHS have had BG values from around 900 to 1300 or 1400. DKA occurs at mu...

Sliding scale insulin is correction insulin given to correct a blood sugar that is already high and should be given even if pt is NPO. Even though many/most physicians will order it as the only insulin coverage, use of sliding scale only often leads...

Many people with diabetes (including type 1) still use NPH for basal coverage. This is especially true for patients of pediatric endocrinologists. Although the NPH nsulin dose might need to be decreased, it should not be held. After treating the l...

Try tucking the pump into your bra. That's a fairly common place for women who don't want to wear it at the waist.

How did you both do? Hope all went well.

cde salaries in south florida are similar to those of nurse clinicians, endocrinologists here are more likely to hire arnps. are the nurses working as independent contractors? we bought a vacation/retirement home in ormond beach last year and will...

Medicare still provides coverage as you stated, but unfortunately Medicaid stopped covering DM education over 2 years ago--and that's a shame.

The Med-Surg textbook I used in nursing school back in 1993 stated that SS insulin is given for an already high BG,, and is not in anticipation of any additional meal/food. To me this means that the SS insulin would be given even if the pt was NPO, ...

A friend's grandmother picked up her toddler's type 1 DM in an unusual, but very logical way. She noticed that ant's were attracted to the child's wet diapers!

The 90 degree angle tip comes from Dr. Pita--an endo in Miami who spoke at a meeting I attended a few years ago. My theory of why it works is that the Lantus microcrystals form a more regularly shaped depot that maximizes the sub q surface area from...

First, it's important that there be a scheduled set dose of Novolog before each meal--not just a sliding scale if BG exceeds a certain level. Usually the Lantus (basal) dose should be about 50 - 60% of total daily insulin. If she really needs 40 ...

perhaps cutting 4 inches off reduced the weight pulling the hair down and allowed the curls/waves to form. i've always had very curly hair, but it curls more when it's not too long. one of my brother's had beautiful blond straight hair. he hit pub...

When there are frequent problems with low BG values--especially in older adults, there may be kidney or liver problems which interfere with treatment. If kidneys are not functioning well, insulin stays in the body longer and may lead to hypoglycemia...

I used to use massage often when I worked as a floor nurse. I think human touch goes a long way to help a pt. relax and feel calm. It's too bad the nurse doesn't often have time to give a short massage -- something that used to be a regular part of...

It doesn't matter where they put the steroids--BG values will soar. I've had pts whose BG rose because of cortisone injections into a joint or the foot. Ask your doctor about using Novolog or Humalog instead of Regular. You'll get much better contr...

The situations you described wouldn't have happened in the tele unit or the CCU I worked in. I worked nights, and we didn't hesitate to call a doctor at 3 am if the pt's condition warranted it. Nursing is like any other profession, and there are ex...

I agree totally with rehab nurse. It is much more difficult to drive and/or work while in severe pain than it is to do so with pain control achieved with narcotic analgesics. Several years ago I had a horrible time with kidney stones. The problem...

If the Morphine is slow release, then the hydrocodone would be for breakthrough pain. Rx label directions for hydrocodone state it can be given q 4 to 6 hrs. A younger, larger pt might require the hydrocodone sooner than an older or smaller person....

Most of the DO NOT CRUSH meds are sustained release formulations that allow once a day dosing for meds that might require tid or qid dosing in the regular formulation. If the med is crushed, the patient gets the entire dose at one time. This could ...

Liposuction will make you look better, but it won't decrease insulin resistance related to abdominal fat. If you tend to develop keloids, speak to your doctor or a plastic surgeon, since this might be a problem (but not related to diabetes)

This is the method I've always used to teach site rotation--except I tell the pt to picture an imaginary circle (about 1.5 inches in diameter) and inject in this area for a week to 10 days for TID injections (the Novolog, Humalog, or Apidra) and for ...

My school requires an 80% to pass. The bad part though is the grading scale: 80 - 86 C 87 - 93 B 94 - 100 A Most of the other nursing schools in the area require 80% to pass, but 80 - 89 is a B and 90 to 100 is an A. So if your are competing f...