Continue to repeat 10 units subcut and poc blood until blood glucose is less. Insulin aspart novolog 1020 minutes 4050 minutes 35 hours these are also called prandial insulins. My father was recently discharged from a nursing home and he takes 2 different kinds of insulin. Insulin sliding scale dose blood sugar low dose moderate dose high dose 60 110 no insulin no insulin no insulin 111 150 2 units 4 units 6 units 151 200 4 units 8 units 10 units 201 250 6 units 10 units 12 units 251 300 8 units 12 units 15 units 301 350 10 units 14 units 18 units. What health clinics charge sliding scale of insulin per foods you eat. These forms of insulin start working in 1560 minues and peak in hours. Click on the image or right click to open the source website in a new browser window.
Insulin sliding scale dose blood sugar low dose moderate dose high dose 60 110 no insulin no insulin no insulin 111 150 2 units 4 units 6 units 151 200 4 units 8 units 10 units 201 250 6 units. For sliding scale therapy, this refers to premeal dose, bedtime time high blood. Novolog is contraindicated in patients who have had hypersensitivity reactions to insulin aspart or one of the excipients see contraindications 4. Glycemic control in hospitalized patients not in intensive. Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 1 hour. Levemir insulin detemir dosing, indications, interactions. May 01, 2010 glycemic control in hospitalized patients who are not in intensive care remains unsatisfactory. You probably will find some beneficial info in this post, come have a glimpse. Diabetes tracking chart printable diabetes tracking chart printable, blood sugar tracker printable for health medical prediabetes is a condition where the glucose level in the blood is elevated to a level. Insulin pens are supplied in boxes of 5 pens each containing 3 ml at 100 units insulin per ml. To avoid medication errors and accidental mixups between novolog and other insulin products, instruct patients to always check the insulin label before injection.
Slidingscale versus basalbolus insulin in the management of. Divide the total carbohydrates by the insulin to carbohydrate ratio. For intensive insulin therapy, this means your insulintocarbohydrate ratio, blood glucose correction and background dose. Insulin diluting medium for novolog water injection. Insulin regular human has mild interactions with at least 83 different drugs.
These images are a random sampling from a bing search on the term insulin sliding scale. Novolog 70 30 sliding scale chart best picture of chart. They are usually injected about 10 minutes before mealtime. Sliding scale novolog bg100 for bg 140 is the amount that one unit of insulin will decrease blood glucose start at 40 to be conservative if they are on home insulin basalbolus then add up their total daily insulin dose and divide that number by 1700 to get an accurate correction factor. Humalog sliding scale insulin coverage blood sugar result humalog insulin coverage subq 60 124 no coverage 125 150 2 units of humalog insulin subq 151 200 4 units of humalog insulin subq 201 250 6 units of humalog insulin subq 251 300 8 units of humalog insulin subq 301 350 10 units of humalog insulin subq.
Prick side of finger and apply pressure to draw blood. Demonstrate technique for mixing insulins by drawing up insulin aspart. Insulin regular human has moderate interactions with at least 100 different drugs. Jun 10, 2014 a sliding scale is for what we call coverage.
Despite persistent expert recommendations urging its abandonment, the use of sliding scale insulin. Diabetes tracking chart printable diabetes tracking chart printable, blood sugar tracker printable for health medical prediabetes is a condition where the glucose level in the blood is elevated to a level higher than normal, but not high enough to be considered as diabetes. Doctors give trusted answers on uses, effects, sideeffects, and cautions. Sep 02, 2014 sliding scale and basalbolus insulin regimens are two options available for the treatment of severe or acute hyperglycemia in type 2 diabetes mellitus patients. Novolog insulin aspart injection, solution insulin diluting medium for novolog water injection injection, solution novo nordiskhighlights of prescribing information these highlights do. Longacting insulin helps control blood glucose throughout the day, while rapidacting insulin manages levels at meal time. In most sliding scale insulin therapy regimens, your blood sugar is taken using a glucometer. Calculate insulin dose for food add up all the carbohydrates in your meal. Practical reminders for people treating with insulin. Administer 12 units subcut, notify provider, and repeat poc blood sugar check in 1 hour. Continue to repeat 10 units subcut and poc blood sugar checks every 30 minutes until blood glucose is less than 300 mgdl, then resume normal poc blood sugar check and insulin aspart sliding scale. Glucose 180mgdl inpatientglycemiccontrolconsensusstatement.
For intensive insulin therapy, this means your insulin tocarbohydrate ratio, blood glucose correction and background dose. This is another example of an ambiguous cover order for slidingscale insulin. Sliding scale doses are typically taken just prior to meal time, and sometimes at bedtime, to correct for elevated blood sugar. In setting your insulin doses, it helps to know how sensitive to insulin you are. What is the sliding scale range for novolog insulin. First described in 1934, what physicians typically refer to as sliding scale insulin ssi is fast or rapidacting insulin only, given subcutaneously, typically at meal times and sometimes bedtime, but only when blood glucose is above a threshold e. Choose from 45 different sets of sliding scale insulin flashcards on quizlet. An insulin sliding scale also called an insulin algorithm simply means that the amount of shortor rapidacting insulin regular, toronto, humalog, novorapid or apidra taken before a meal is adjusted according to the blood sugar at that time. To ensure patients who are discharged with diabetic medication requiring a sliding scale, the correct order must be placed.
Taking insulin or other diabetes medications is often part of dealing with diabetes in addition to healthy food choices and exercise, medicine can assist you handle the disease. This is done about four times a day every five to six hours, or before meals and at bedtime. Insulin sensitivity helps to determine the total daily insulin dose, including the background insulin, carbohydrate humalogregular see the carb factors, and sliding scale humalogregular see the 18001500 rule. The second line is an order for novolog to be given with meals, which was written as. Because clinical trials are conducted under widely varying designs, the. Highlights of prescribing information thiazolidinediones. Severe, lifethreatening, generalized allergy, including anaphylaxis, may occur with insulin products, including novolog. Insulin sensitivity helps to determine the total daily insulin dose, including the background insulin, carbohydrate humalogregular. Intensifications of scheduled and sliding scale insulin, but not oral medications, were associated with a 11. Ive heard about sliding scale before but when i brought it up to his pharmacist she did not know much about it got me concerned. Correction insulin corrects or lowers high blood sugars before meals. Sliding scale insulin ssi which uses increases in insulin doses.
That is the insulin you take if your blood sugar is high when you check it. Use of a standardized protocol to decrease medication errors. Dec 14, 2014 sliding scale insulin for medical and nursing students types of insulin part 1 duration. Novolog insulin aspart injection, solution insulin diluting medium for novolog water injection injection, solution novo nordiskhighlights of prescribing information these highlights do not include all the information needed to use novolog safely and effectively. Continue to repeat 10 units subcut and poc blood until blood glucose is less than 300 mgdl, then resume normal poc blood sugar check and insulin regular sliding scale.
Sliding scale novolog bg100 for bg 140 is the amount that one unit of insulin will decrease blood glucose start at 40 to be conservative if they are on home insulin basalbolus then. Correctional subcutaneous sliding scale insulin to be administered indicate frequency coverage. Can novolog insulin be used as a sliding scale before meals. The type of insulin used on a sliding scale is often regular or fastacting, but. Novolog dosing novolog insulin aspart injection 100 uml. Insulin therapy in the outpatient setting american college of.
Usual doses are small, as they begin working quickly and the. Formulas to calculate general total daily requirements, and basal and bolus insulin replacement. Mealtime insulin management what is mealtime insulin. You need to talk with your doctor or see a specialist who deals with diabetes. Medscape diabetes mellitus dosing for levemir insulin detemir, frequencybased adverse effects, comprehensive interactions, contraindications, pregnancy, lactation schedules, and cost information. Novolog insulin aspart dosing, indications, interactions. Learn sliding scale insulin with free interactive flashcards. Once the order is placed, the sliding scale will appear on the avs. Continue to repeat 10 units subcut and poc blood sugar checks every 1 hour until blood glucose is less than 300 mgdl, then resume normal poc blood sugar check and insulin regular sliding scale.
Sliding scale for novolog aspart diabetes type 2 medhelp. The type of insulin used on a sliding scale is often regular or fastacting, but there are different sliding scale regimens using a variety of insulin to address different diabetic needs. Historically, sliding scale regular insulin was the issue now rapid acting insulins are a concern. Quizlet flashcards, activities and games help you improve your grades. Regular insulin sliding scale basal insulin insulin dm. They are prescribed to be given at meal time, often as sliding scale coverage. Most endocrinologists will put a diabetic patient who uses insulin on a sliding scale of insulin, depending on what the blood glucose is when you test before a meal. The ideal is of course for glucose levels to be in the normal before meal range of between something like 70126 different doctors use slightly different numbers, but this is pretty typical. Humalog sliding scale insulin coverage blood sugar result humalog insulin coverage subq 60 124 no coverage 125 150 2 units of humalog insulin subq 151 200 4 units of humalog insulin subq. Novolog sliding scale insulin chart insulin chart, diabetes.
Although its use is not recommended, sliding scale insulin therapy is still being used widely. Each presentation contains 100 units of insulin aspart per ml. Insulin dosing worksheet sliding scale insulin to carbohydrate ratio 1 unit. Continue to repeat 10 units subcut and poc blood sugar checks. Insulin therapy based on what the body does naturally. U 100 syringe, draw back the u500 insulin to the 25unit marking, and thereby give. Administer 12 units subcut, notify provider, and repeat poc blood sugar check in 30 minutes. Correction insulin sliding scale, supplemental, bolus. Slidingscale and basalbolus insulin regimens are two options available for the treatment of severe or acute hyperglycemia in type 2 diabetes mellitus patients.
Avoiding medication errors with insulin therapy scherer clinical. First described in 1934, what physicians typically refer to as slidingscale insulin ssi is fast or rapidacting insulin only, given subcutaneously, typically at meal times and sometimes. Sliding scale insulin administration flashcards quizlet. Insulin pens appear similar to one another despite containing different insulins basal or bolus read each syringe carefully and note its color prior to each injection to prevent overdose errors. Insulin pens appear similar to one another despite containing different insulins basal or bolus read. Educational tools eradicating insulin sliding scales. Adult sliding scale for insulin aspart novolog umc health system. Insulin sliding scale dose blood sugar low dose moderate dose high dose. If blood glucose levels are too high, two types of insulin may be used to improve blood glucose. Hello sliding scale really depends on you and your case and needs to be set by your doctor a standard might look like this 61 to 150 no insulin 151 to 200 3 units 201 to 250 5 units. This information does not contain all possible interactions or adverse effects.
116 108 1158 1527 1141 637 273 355 1452 1083 215 1068 1510 1002 1511 240 298 710 141 456 508 830 493 110 842 28 443 26 690 1220 948 370 1084 281 1392