| Inpatient Diabetes Management | The World of Insulin | How sweet it is! | How low can you go... | Insulin to Carbohydrate Ratio |
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What is the goal for inpatient blood glucose results?
140-180
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What is 6-10 minutes?
The half-life of IV insulin
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What is dehydration?
The primary condition aside from high blood sugar in the body in both DKA as well as HHS
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What is not enough carbohydrates, alcohol ingestion, exercise, too much insulin or kidney failure?
Two things that can precipitate a low blood sugar
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What is the fixed mealtime dose?
An insulin to carbohydrate ratio order replaces this insulin dose.
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What is less than 70?
According to American Diabetes association this blood sugar result is considered too low
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What is 30-90 minutes?
The peak of rapid-acting insulin such as Novolog administered subcutaneous
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What is fluid resuscitation?
The initial goal in both DKA as well as HHS
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What is give 15 grams quick-acting carbohydrate?
Best method of treating a low blood sugar
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What is the online fast food restaurant’s nutritional information which includes carbohydrates? (Or what is contact a dietician or the diabetes educator for assistance)
A young 25 year old male states he is having his girlfriend bring him some “real food” from McDonald's. You figure out the carbohydrates grams he is consuming by……….
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What is 15 minutes?
The time waited before repeating glucometer after treating hypoglycemia.
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What is Glargine (Lantus)?
[or Detemir (Levemir)?]
A basal insulin
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What is 60 minutes?
Your patient's DKA has cleared and after giving the subcutaneous insulin injection, you wait this long before discontinuing the continuous IV insulin infusion.
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What is Glimeperide [Amaryl], Glipizide [Glucotrol], Glyburide [Micronse, Diabetea, Glynase], or Nateglinide [Starlix], Repaglinide [Prandin], and all insulin?
Two of the medications that put a person at risk for hypoglycemia
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What is encourage the patient to take some juice along with crackers, graham crackers, ice cream to add as close to total of carbohydrates that he was dosed for?
After dosing a patient for his I:C ratio in addition to his correction insulin, you find that he has only eaten ½ of his carbohydrates. You give him…
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What is 180 X 2 consecutive checks or over 250 X 1?
A high glucometer result(s) that is called to the physician.
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What is Levemir (or Lantus)?
Considered peakless
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What is Type I?
Sub-type of diabetes in which DKA most frequently occurs
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What is hypoglycemia unawareness?
Low blood sugar but little to no symptoms (adrenergic response)
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What is 5 units Novolog?
A patient has an I:C order of 1:10and is on a Carbohydrate consistent 75 gram meal plan ordered. He has eaten all of his vegetable pizza (CHO 47), ½ of their fruit cup (CHO 9) & ½ of their applesauce (14) so he is given this much meal time Novolog.
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When is the attending physician notified about a hypoglycemia event?
Done as soon as possible or before the next dose of insulin is administered.
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What is Protamine-acting?
Novolog 70/30 has 70% of this kind of insulin
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What is education?
Most important way staff nurses can assist in preventing readmission of patients with DKA & HHS
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What is Glucagon?
One (1) mg of this hormone is given IM sending a message to the liver to release all stored sugar.
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What is yes or true?
The patient has an I:C ratio ordered but is not eating, the patient should receive their correction insulin for high pre-meal glucometer reading
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