Diabetes Prevention Trial - Type 1. INSULIN INFUSION FLOW-SHEET Page 1 of 6

Size: px
Start display at page:

Download "Diabetes Prevention Trial - Type 1. INSULIN INFUSION FLOW-SHEET Page 1 of 6"

Transcription

1 Diabetes Prevention Trial - Type 1 Form IF INSULIN INFUSION FLOW-SHEET Page 1 of 6 Subject ID #: Subject Initials: Testing Location Code: F M L (use codes provided by DMU) Physician s signature: Name of person completing form (please print): Concentration of insulin infusion: 10 Units/500cc 25 Units/500cc Subject weight:. kg Initial infusion rate:. ml/hr Incremental increase rate: cc/hr Maximal basal rate: cc/hr Incremental decrease rate: cc/hr Minimal basal rate: cc/hr Total number of hours of infusion: hrs Number of interruptions during infusion: Day 1 Date of Infusion: / / Interim Values 04:00 06:00 Infusion rate adjusted due to BG mg/dl? (0=no 1=yes, adjusted down) IF01 - REV 09/26/97 I F DMU Use Only - Day 1 Date rcvd:

2 Subject ID #: Page 2 of 6 Day 2 Date of Infusion: / / Interim Values 04:00 06:00 Infusion rate adjusted due to BG mg/dl? (0=no 1=yes, adjusted down) IF02 - REV 09/26/97 DMU Use Only - Day 2

3 Subject ID #: Page 3 of 6 Day 3 Date of Infusion: / / Interim Values 04:00 06:00 Infusion rate adjusted due to BG mg/dl? (0=no 1=yes, adjusted down) IF03 - REV 09/26/97 DMU Use Only - Day 3

4 Subject ID #: Page 4 of 6 Day 4 Date of Infusion: / / Interim Values 04:00 06:00 Infusion rate adjusted due to BG mg/dl? (0=no 1=yes, adjusted down) IF04 - REV 09/26/97 DMU Use Only - Day 4

5 Subject ID #: Page 5 of 6 Day 5 Date of Infusion: / / Interim Values 04:00 06:00 Infusion rate adjusted due to BG mg/dl? (0=no 1=yes, adjusted down) IF05 - REV 09/26/97 DMU Use Only - Day 5

6 Subject Weight Subject ID #: Page 6 of 6 Infusion Worksheet Incremental Increase Amount Incremental Decrease Amount Concentration Basal U/kg/hr Maximum Infusion kg U/500 ml ml/hr ml/hr ml/hr ml/hr ml/hr units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml units/500 ml IF06 - REV 09/26/97 Minimum Infusion

CARDIAC SURGERY INTRAVENOUS INSULIN PROTOCOL PHYSICIAN ORDERS INDICATIONS EXCLUSIONS. Insulin allergy

CARDIAC SURGERY INTRAVENOUS INSULIN PROTOCOL PHYSICIAN ORDERS INDICATIONS EXCLUSIONS. Insulin allergy Page 1 of 5 INDICATIONS EXCLUSIONS 2 consecutive blood glucose measurements greater than 110 mg per dl AND NPO with a continuous caloric source AND Diagnosis of : Cardio-thoracic Surgery NOTE: This protocol

More information

2. Order: Nipride 500 mg IV in 250 ml D5w at 2 mcg/kg/min for a patient weighing 125 lb. Administer at ml/hr

2. Order: Nipride 500 mg IV in 250 ml D5w at 2 mcg/kg/min for a patient weighing 125 lb. Administer at ml/hr 1 Pharmacology Review Quiz: 1. Order: Xylocaine 1 g IV in 500 ml D5W at 3 mg/min. Set the infusion pump at ml/hr 2. Order: Nipride 500 mg IV in 250 ml D5w at 2 mcg/kg/min for a patient weighing 125 lb.

More information

Algorithms for Glycemic Management of Type 2 Diabetes

Algorithms for Glycemic Management of Type 2 Diabetes KENTUCKY DIABETES NETWORK, INC. Algorithms for Glycemic Management of Type 2 Diabetes The Diabetes Care Algorithms for Type 2 Diabetes included within this document are taken from the American Association

More information

Carbohydrate Ratio Correction Target Correction Factor

Carbohydrate Ratio Correction Target Correction Factor Information Needed to Get Started How many grams of carbs the child is eating Blood glucose (BG) taken before eating Important numbers from primary caregiver: Carbohydrate Ratio Correction Target Correction

More information

SHINE Study Ordering Instructions for Investigators SUNY Downstate

SHINE Study Ordering Instructions for Investigators SUNY Downstate General Directions SHINE Study Ordering Instructions for Investigators SUNY Downstate 1) Call Spiro Demetis to get patient admitted to ICU ASAP. Cell: 646-261-5730; Pager: 917-760-1653. Let him know that

More information

2011 EBM-hyperglycemia

2011 EBM-hyperglycemia 嗎 2011 EBM-hyperglycemia 陳 莉 瑋 醫 師 一 定 要 打 打 bolus insulin? 用 FinePrint 列 印 - 可 在 www.ahasoft.com.tw/fineprint 訂 購 Question 1 Is bolus insulin necessary in DKA? P:DKA adult patient I:initial bolus insulin+insulin

More information

[ ] POCT glucose Routine, As needed, If long acting insulin is given and patient NPO, do POCT glucose every 2 hours until patient eats.

[ ] POCT glucose Routine, As needed, If long acting insulin is given and patient NPO, do POCT glucose every 2 hours until patient eats. Glycemic Control - Insulin Infusion NOTE: For treatment of Diabetic Ketoacidosis or Hyperglycemic Hyperosmolar Syndrome please go to order set named Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar

More information

School Year 20 / 20. Diabetes Health Care Plan for Southgate Schools

School Year 20 / 20. Diabetes Health Care Plan for Southgate Schools School Year 20 / 20 Diabetes Health Care Plan for Southgate Schools Diabetes Medical Management Plan, Initialized Healthcare Plan and Physician Orders Part A: Contact Information must be completed by the

More information

Insulin Delivery System. Reference Guide

Insulin Delivery System. Reference Guide Insulin Delivery System Reference Guide Reference Guide As an important member of our family, we would like you to know we understand the importance of managing your diabetes. We care about your health

More information

DIABETES PACKET. To ensure your child s well-being, please provide the school with the following supplies:

DIABETES PACKET. To ensure your child s well-being, please provide the school with the following supplies: NSG-203A NORTH ROYALTON CITY SCHOOLS 6579 Royalton Road North Royalton, Ohio 44133 DIABETES PACKET Dear Parent/Guardian: You have indicated that your child has Diabetes. Please complete the attached SCHOOL

More information

Calculating Insulin Dose

Calculating Insulin Dose Calculating Insulin Dose First, some basic things to know about insulin: Approximately 40-50% of the total daily insulin dose is to replace insulin overnight, when you are fasting and between meals. This

More information

Equipment and Supplies Checklist for Parents Student: DOB: School: Grade: Equipment and Supplies to be Provided by Parent. Parent Signature Date

Equipment and Supplies Checklist for Parents Student: DOB: School: Grade: Equipment and Supplies to be Provided by Parent. Parent Signature Date Equipment and Supplies Checklist for Parents Student: DOB: School: Grade: Equipment and Supplies to be Provided by Parent Parent Signature Date Daily Snacks (for AM/PM snack times): Specify: Extra Snacks

More information

Health Professional s. Guide to INSULIN PUMP THERAPY

Health Professional s. Guide to INSULIN PUMP THERAPY Health Professional s Guide to INSULIN PUMP THERAPY Table of Contents Introduction Presenting Insulin Pump Therapy to Your Patients When Your Patient Chooses the Pump Estimates for Starting Insulin Pump

More information

INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco

INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco CLINICAL RECOGNITION Background: Appropriate inpatient glycemic

More information

Insulin Therapy In Type 2 DM. Sources of support. Agenda. Michael Fischer, M.D., M.S. The underuse of insulin Insulin definition and types

Insulin Therapy In Type 2 DM. Sources of support. Agenda. Michael Fischer, M.D., M.S. The underuse of insulin Insulin definition and types Insulin Therapy In Type 2 DM Michael Fischer, M.D., M.S. Sources of support NaRCAD is supported by a grant from the Agency for Healthcare Research and Quality My current research projects are funded by

More information

Funding of New Zealand Medical and Scientific Insulin pump and consumables approved

Funding of New Zealand Medical and Scientific Insulin pump and consumables approved 08 August 202 Funding of New Zealand Medical and Scientific Insulin pump and consumables approved PHARMAC is pleased to announce that the approval of an agreement with New Zealand Medical and Scientific

More information

Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction)

Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction) Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction) 4) activity and 5) other factors such as stress and

More information

Healthcare Math: Calculating IV Flow Rates

Healthcare Math: Calculating IV Flow Rates Healthcare Math: Calculating IV Flow Rates Industry: Healthcare Content Area: Mathematics Core Topics: Using formulas, converting time measurements, applying medical terms to math problems, rounding decimals

More information

Diabetes Management and Treatment Plan for School (For the insulin pump student)

Diabetes Management and Treatment Plan for School (For the insulin pump student) Lafayette School Corporation Health Services Diabetes Management and Treatment Plan for School (For the insulin pump student) Effective Dates: This plan should be complete by the student s personal health

More information

Telephone: Home Work Cell E-mail Address Father/Guardian: Address:

Telephone: Home Work Cell E-mail Address Father/Guardian: Address: SAMPLE Diabetes Medical Management Plan/Individualized Healthcare Plan Part A: Contact Information must be completed by the parent/guardian. Part B: Diabetes Medical Management Plan (DMMP) must be completed

More information

Advance IV Therapy Module. Example 1. 3mg. 3mg min = 45

Advance IV Therapy Module. Example 1. 3mg. 3mg min = 45 Advance IV Therapy Module Eample A patient is to receive Lidocaine at 3mg/. Supplied is a one liter bag of D 5 W containing Lidocaine 4g. Calculate the infusion rate in ml/. First, identify the doctor

More information

Continuous Subcutaneous Insulin Infusion (CSII)

Continuous Subcutaneous Insulin Infusion (CSII) IMPORTANCE OF FOCUS CSII (Insulin pumps) have been used for more than 35 years. In the U.S. in 2005, the level of insulin pump penetration was estimated at 20 to 30% in patients with type 1 diabetes mellitus

More information

Solomon S. Steiner, Lutz Heinemann, Roderike Pohl, Frank Flacke, Andreas Pfützner, Patrick V. Simms, Marcus Hompesch. EASD September 18, 2007

Solomon S. Steiner, Lutz Heinemann, Roderike Pohl, Frank Flacke, Andreas Pfützner, Patrick V. Simms, Marcus Hompesch. EASD September 18, 2007 Pharmacokinetics and Pharmacodynamics of Insulin VIAject TM, Insulin Lispro and Regular Human Insulin When Injected Subcutaneously Immediately Before a Meal in Patients with Type 1 Diabetes. Solomon S.

More information

Diabetes Self Management Training Insulin Pump Follow Up

Diabetes Self Management Training Insulin Pump Follow Up 701 East Marshall Street, West Chester, PA 19380 www.chestercountyhospital.org 610.431.5000 Diabetes Self Management Training Insulin Pump Follow Up Patient Name: Visit Date: Time: To prepare for your

More information

Diabetes Health Care Plan

Diabetes Health Care Plan The Public Schools of Brookline School Health Services of Plan: Diabetes Health Care Plan To be completed by the student s health care team and parents/guardian. Plan will be kept with the school nurse

More information

A Reference Guide for School Nurses. with the Medtronic MiniMed Insulin Pump

A Reference Guide for School Nurses. with the Medtronic MiniMed Insulin Pump A Reference Guide for School Nurses with the Medtronic MiniMed Insulin Pump Table Of Contents I Table of Contents The Medtronic MiniMed Insulin Pump A Reference Guide for School Nurses For the 522, 722,

More information

4/15/2013. Maribeth Inturrisi RN MS CNS CDE Perinatal Diabetes Educator mbturris@comcast.net

4/15/2013. Maribeth Inturrisi RN MS CNS CDE Perinatal Diabetes Educator mbturris@comcast.net Maribeth Inturrisi RN MS CNS CDE Perinatal Diabetes Educator mbturris@comcast.net List the potential complications associated with diabetes during labor. Identify the 2 most important interventions essential

More information

NICE insulin algorithm function. Select 'Calculate insulin dose' from web menu

NICE insulin algorithm function. Select 'Calculate insulin dose' from web menu NICE SUGAR STUDY TREATMENT ALGORITHM The NICE-SUGAR STUDY blood glucose management algorithm ( Algorithm ) has been designed for use solely by medical practitioners treating patients enrolled in the NICE-SUGAR

More information

SECTION: NM NUMBER: 20. HENRY FORD HOSPITAL DETROIT, MICHIGAN TITLE: GLYCEMIC CONTROL INTENSIVE CARE PROTOCOL UNIT: All ICUs

SECTION: NM NUMBER: 20. HENRY FORD HOSPITAL DETROIT, MICHIGAN TITLE: GLYCEMIC CONTROL INTENSIVE CARE PROTOCOL UNIT: All ICUs CLINICALPROTOCOL MULTIDISCIPLINARY SECTION: NM NUMBER: 2 HENRY FORD HOSPITAL DETROIT, MICHIGAN TITLE: GLYCEMIC CONTROL INTENSIVE CARE PROTOCOL UNIT: All ICUs APPROVED: 3/3 REVIEWED: REVISED: 12/3, 5/,

More information

Electronic copy to all appropriate staff Intranet Notification in Staff Focus Related Trust Policies (to be read in conjunction with)

Electronic copy to all appropriate staff Intranet Notification in Staff Focus Related Trust Policies (to be read in conjunction with) Diabetes Management for Children and Young People undergoing Surgery (0-16 yrs) Clinical Guideline Register No: 10096 Status: Public Developed in response to: Updated national guidelines Contributes to

More information

Finally, the right fit for your insulin needs. www.tandemdiabetes.com

Finally, the right fit for your insulin needs. www.tandemdiabetes.com Finally, the right fit for your insulin needs. www.tandemdiabetes.com (Actual Size) For convenience and ease of use, the t:flex TM Insulin Pump just fits. It is designed to help make your day-to-day insulin

More information

Objectives PERINATAL INSULIN PUMPS: BASICS FOR NURSES. Historical Perspective. Insulin Pumps in Pregnancy. Insulin Pumps in the US

Objectives PERINATAL INSULIN PUMPS: BASICS FOR NURSES. Historical Perspective. Insulin Pumps in Pregnancy. Insulin Pumps in the US Objectives PERINATAL INSULIN PUMPS: BASICS FOR NURSES Jo M. Kendrick, APN BC, CDE jkendric@utmck.edu Describe indications and contraindications for insulin pump use in hospitalized patients Differentiate

More information

Read the following information carefully before attempting the examples and exercises. TABLETS Formula method. = No. of tablets to be given

Read the following information carefully before attempting the examples and exercises. TABLETS Formula method. = No. of tablets to be given drug calculations Read the following information carefully before attempting the examples and exercises. TABLETS Required dose No. of tablets to be given Required dose : Required tablet : Stock tablet

More information

The OmniPod Insulin Management System

The OmniPod Insulin Management System Caregiver GUIDE The OmniPod Insulin Management System The OmniPod is an easy-to-use, two-part insulin delivery system. If you are a school nurse, daycare provider, or other secondary caregiver for someone

More information

OFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON DIABETES MEDICAL MANAGEMENT PLAN Page 1 of 5 TO BE COMPLETED BY PARENT OR GUARDIAN

OFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON DIABETES MEDICAL MANAGEMENT PLAN Page 1 of 5 TO BE COMPLETED BY PARENT OR GUARDIAN PART I OFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON DIABETES MEDICAL MANAGEMENT PLAN Page 1 of 5 TO BE COMPLETED BY PARENT OR GUARDIAN Student School Date of Birth Date of Diagnosis Grade/ Teacher Physical

More information

Name Date. Doctor. Usual times to test glucose at school Extra tests (check those that apply) before exercise after exercise other (explain)

Name Date. Doctor. Usual times to test glucose at school Extra tests (check those that apply) before exercise after exercise other (explain) Appendix A SAMPLE IHP Name Date Phone numbers Blood glucose Hypoglycemia Hyperglycemia Insulin Parent/guardian#1 Work Home Parent/guardian#2 Work Home Other emergency contact Doctor Usual times to test

More information

SARASOTA MEMORIAL HOSPITAL

SARASOTA MEMORIAL HOSPITAL SARASOTA MEMORIAL HOSPITAL TITLE: NURSING PROCEDURE CARE OF THE INTRAPARTUM PATIENT RECEIVING CONTINUOUS INTRAVENOUS INSULIN ADMINISTRATION (obs25) DATE: REVIEWED: PAGES: 9/93 8/15 1 of 7 PS1094 ISSUED

More information

NOTICE INVITING e-tender

NOTICE INVITING e-tender REGIONAL CANCER CENTRE Fax: +91 471 2447454 MEDICAL COLLEGE CAMPUS Phone: +91 471 2442541 THIRUVANANTHAPURAM-695 011 website: www.rcctvm.org KERALA STATE E-mail: webmaster@rcctvm.gov.in NOTICE INVITING

More information

Insulin Pump Therapy and Continuous Glucose Sensor Use in the Management of Diabetes Mellitus

Insulin Pump Therapy and Continuous Glucose Sensor Use in the Management of Diabetes Mellitus Insulin Pump Therapy and Continuous Glucose Sensor Use in the Management of Diabetes Mellitus Louis Haenel, IV, DO, FACOI, FACE Endocrinology Roper Hospital Charleston, SC Dr. Louis Haenel IV has disclosed

More information

Glucose Management University of Colorado Hospital

Glucose Management University of Colorado Hospital Glucose Management University of Colorado Hospital Bridget Everhart, MSN, NP, CDE Inpatient Diabetes Educator Bridget.Everhart@uch.edu M F Pager 303 266-7898 UCH Diabetes Program Michael McDermott MD Diabetes

More information

Report reference guide. mmol/l. One. solution EMR. No fuss

Report reference guide. mmol/l. One. solution EMR. No fuss Report reference guide mmol/l One solution No fuss 0000000000 00 0 0000 00 0 0 0 0 0 0 000000000 0 0 00 0 0 0 00 00 0 0 0 0 0 0 00 00000000000000000000 00 EMR About. Plug Transmitter into your outlet is

More information

External Insulin Pumps Corporate Medical Policy

External Insulin Pumps Corporate Medical Policy External Insulin Pumps Corporate Medical Policy File name: External Insulin Pumps File code: UM.DME.02 Origination: 4/2006 Last Review: 02/2014 (ICD-10 remediation only) Next Review: 10/2014 Effective

More information

Insulin Pump Therapy Education Protocol

Insulin Pump Therapy Education Protocol Insulin Pump Therapy Education Protocol Considerations for Developing Your Own Best Practices 9402474-011 1 Objective Provide an overview of the importance of developing an insulin pump therapy education

More information

INTERNAL MEDICINE RESIDENTS NOON CONFERENCE: INPATIENT GLYCEMIC CONTROL

INTERNAL MEDICINE RESIDENTS NOON CONFERENCE: INPATIENT GLYCEMIC CONTROL INTERNAL MEDICINE RESIDENTS NOON CONFERENCE: INPATIENT GLYCEMIC CONTROL Presented by: Leyda Callejas PGY5 Endocrinology, Diabetes and Metabolism Acknowledgements: Dr. P Orlander Dr. V Lavis Dr. N Shah

More information

tips Insulin Pump Users 1 Early detection of insulin deprivation in continuous subcutaneous 2 Population Study of Pediatric Ketoacidosis in Sweden:

tips Insulin Pump Users 1 Early detection of insulin deprivation in continuous subcutaneous 2 Population Study of Pediatric Ketoacidosis in Sweden: tips Top International Publications Selection Insulin Pump Users Early detection of insulin deprivation in continuous subcutaneous insulin infusion-treated Patients with TD Population Study of Pediatric

More information

4/7/2015 CONFLICT OF INTEREST DISCLOSURE OBJECTIVES. Conflicts of Interest None Heather Rush. Heather M. Rush, APRN, CDE Louisville, KY

4/7/2015 CONFLICT OF INTEREST DISCLOSURE OBJECTIVES. Conflicts of Interest None Heather Rush. Heather M. Rush, APRN, CDE Louisville, KY Heather M. Rush, APRN, CDE Louisville, KY CONFLICT OF INTEREST DISCLOSURE Conflicts of Interest None Heather Rush A conflict of interest exists when an individual is in a position to profit directly or

More information

SLIDING SCALE INSULIN ASPART PROTOCOL PLAN

SLIDING SCALE INSULIN ASPART PROTOCOL PLAN Weight Allergies Patient Care Accucheck Per Sliding Scale Insulin Frequency AC & HS AC & HS 3 days TID BID q12h q6h q6h 24 hr q4h q2h Sliding Scale Insulin Protocol Follow SSI Reference Text Medications

More information

Medication Calculation Practice Problems

Medication Calculation Practice Problems 1 Medication Calculation Practice Problems Dosage Calculation 1. The order is for 60 mg of furosemide (Lasix) po daily. Available to the nurse is Lasix 40 mg/tablet. The nurse would administer how many

More information

Diabetes Management Tube Feeding/Parenteral Nutrition Order Set (Adult)

Diabetes Management Tube Feeding/Parenteral Nutrition Order Set (Adult) Review Due Date: 2016 May PATIENT CARE ORDERS Weight (kg) Known Adverse Reactions or Intolerances DRUG No Yes (list) FOOD No Yes (list) LATEX No Yes ***See Suggestions for Management (on reverse)*** ***If

More information

Managing the Hospitalized Patient on Insulin: Care Transition. Catie Prinzing MSN, APRN, CNS

Managing the Hospitalized Patient on Insulin: Care Transition. Catie Prinzing MSN, APRN, CNS Managing the Hospitalized Patient on Insulin: Care Transition Catie Prinzing MSN, APRN, CNS Diabetes and Hospitalization People with DM are hospitalized 3x more frequently than patients without diabetes

More information

University College Hospital. Sick day rules insulin pump therapy

University College Hospital. Sick day rules insulin pump therapy University College Hospital Sick day rules insulin pump therapy Children and Young People s Diabetes Service Children whose diabetes is well controlled should not experience more illness or infections

More information

CLASS OBJECTIVES. Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies

CLASS OBJECTIVES. Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies Insulins CLASS OBJECTIVES Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies INVENTION OF INSULIN 1921 The first stills used to make insulin

More information

PORTLAND AERIAL TRAM Standard Operating Procedure Patient Users/Responsibilities

PORTLAND AERIAL TRAM Standard Operating Procedure Patient Users/Responsibilities PORTLAND AERIAL TRAM Standard Operating Procedure Patient Users/Responsibilities TRAM SOP03 Effective Date: December 14, 2007 Approved By: Portland Aerial Tram Executive Management Committee Revision Date:

More information

ROYAL HOSPITAL FOR WOMEN

ROYAL HOSPITAL FOR WOMEN ROYAL HOSPITAL FOR WOMEN LOCAL OPERATING PROCEDURE CLINICAL POLICIES, PROCEDURES & GUIDELINES Approved by Quality & Patient Safety Committee 17 April 2014 INSULIN INFUSION PROTOCOL INSULIN DEXTROSE INFUSION

More information

A new insulin order form should be completed for subsequent changes to type of insulin and/or frequency of administration

A new insulin order form should be completed for subsequent changes to type of insulin and/or frequency of administration of nurse A new insulin order form should be completed for subsequent changes to type of insulin and/or frequency of administration 1. Check times for point of care meter blood glucose testing. Pre-Breakfast

More information

BASAL BOLUS INSULIN FOR MEDICAL- SURGICAL INPATIENTS

BASAL BOLUS INSULIN FOR MEDICAL- SURGICAL INPATIENTS BASAL BOLUS INSULIN FOR MEDICAL- SURGICAL INPATIENTS C O N T A C T D I A B E T E S S E R V I C E S F O R M O R E I N F O R M A T I O N 8 4 7-9 1 7-6 9 0 7 THIS SLIDE PRESENTATION WAS PREPARED BY SUE DROGOS,

More information

FHUSD Diabetic Management Plan

FHUSD Diabetic Management Plan This plan should be completed by the student s personnel Physician or Licensed Healthcare Provider and parent/guardian. It should be reviewed with relevant school staff and copies should be kept in a place

More information

ALVIN INDEPENDENT SCHOOL DISTRICT Diabetes Medical Management Plan

ALVIN INDEPENDENT SCHOOL DISTRICT Diabetes Medical Management Plan ALVIN INDEPENDENT SCHOOL DISTRICT Diabetes Medical Management Plan of Plan: School Year (must be current): This plan should be completed by the student s personal health care team and parents/guardian.

More information

A Simplified Approach to Initiating Insulin. 4. Not meeting glycemic goals with oral hypoglycemic agents or

A Simplified Approach to Initiating Insulin. 4. Not meeting glycemic goals with oral hypoglycemic agents or A Simplified Approach to Initiating Insulin When to Start Insulin: 1. Fasting plasma glucose (FPG) levels >250 mg/dl or 2. Glycated hemoglobin (A1C) >10% or 3. Random plasma glucose consistently >300 mg/dl

More information

How To Treat An Alcoholic Patient

How To Treat An Alcoholic Patient Height Weight Allergies If appropriate for patient condition, please consider the following order sets: Initiate Electrolyte Replcement: Med/Surg, Med/Surg Tele Physician Order #842 Discontinue all lorazepam

More information

The basal plus strategy. Denis Raccah, MD, PhD Professor of Medicine University Hospital Sainte Marguerite Marseille FRANCE

The basal plus strategy. Denis Raccah, MD, PhD Professor of Medicine University Hospital Sainte Marguerite Marseille FRANCE The basal plus strategy Denis Raccah, MD, PhD Professor of Medicine University Hospital Sainte Marguerite Marseille FRANCE ADA/EASD guidelines recommend use of basal insulin as early as the second step

More information

INSULIN TREATMENT FOR TYPE 2 DIABETES MANAGEMENT

INSULIN TREATMENT FOR TYPE 2 DIABETES MANAGEMENT INSULIN TREATMENT FOR TYPE 2 DIABETES MANAGEMENT APIRADEE SRIWIJITKAMOL DIVISION OF ENDOCRINOLOGY AND METABOLISM DEPARTMENT OF MEDICINE FACULTY OF MEDICINE SIRIRAJ HOSPITOL QUESTION 1 1. ท านเคยเป นแพทย

More information

INSULIN PUMP THERAPY

INSULIN PUMP THERAPY INSULIN PUMP THERAPY Information Leaflet Your Health. Our Priority. Page 2 of 5 Insulin management plan for pregnant women using insulin pump therapy If at any point, you are not able to control your blood

More information

Illinois Valley Community College Nursing Program Math Questions

Illinois Valley Community College Nursing Program Math Questions Illinois Valley Community College Nursing Program Math Questions 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. How many mg of the antibiotic Penicillin would you prepare for a child who weighs

More information

Accountable Care Project EMR Reporting Guide January 6, 2014

Accountable Care Project EMR Reporting Guide January 6, 2014 Accountable Care Project EMR Reporting Guide January 6, 2014 Web Reporting System The system can be accessed at http://www.nhaccountablecare.org. You will need the ID and password assigned to you by NHIHPP

More information

My Sick Day Plan for Type 1 Diabetes on an Insulin Pump

My Sick Day Plan for Type 1 Diabetes on an Insulin Pump My Sick Day Plan for Type 1 Diabetes on an Insulin Pump When you are sick, your blood sugar levels may be harder to keep under control. Your blood sugar may go too high or too low. Use this guide to help

More information

Inpatient Treatment of Diabetes

Inpatient Treatment of Diabetes Inpatient Treatment of Diabetes Alan J. Conrad, MD Medical Director Diabetes Services EVP, Physician Alignment Diabetes Symposium November 12, 2015 Objectives Explain Palomar Health goals for inpatient

More information

Objectives. Clinical Impact of An Inpatient Diabetes Care Model. Impact of Diabetes on Hospitals. The Nebraska Medical Center Stats 6/5/2014

Objectives. Clinical Impact of An Inpatient Diabetes Care Model. Impact of Diabetes on Hospitals. The Nebraska Medical Center Stats 6/5/2014 Objectives Clinical Impact of An Inpatient Diabetes Care Model Beth Pfeffer MSN, RN CDE Andjela Drincic, MD 1. Examine the development of the role of the diabetes case manager model in the inpatient setting

More information

MY BOARD. What is your board composition? WORKSHEET

MY BOARD. What is your board composition? WORKSHEET MY BOARD WORKSHEET Whether you are brand new to your Public Housing Agency s board of commissioners, or have served on the board for long time, it can be helpful to spend some time getting to know the

More information

Dear Parent/Guardian and Physician of

Dear Parent/Guardian and Physician of DIABETIC MANAGEMENT PLAN Parent Consent and Physician Authorization POWAY UNIFIED SCHOOL DISTRICT HEALTH SERVICES 15250 Avenue of Science San Diego CA 92128 Dear Parent/Guardian and Physician of California

More information

Alternative method for delivering insulin using continuous subcutaneous insulin infusion (CSII) open loop system

Alternative method for delivering insulin using continuous subcutaneous insulin infusion (CSII) open loop system ISHP Spring CE Conference April 12, 2015 St. Luke s Medical Center Randi Lynn Griffiths, PharmD Clinical outpatient pharmacist Boise VA Medical Center Boise, Idaho Alternative method for delivering insulin

More information

Your Road Map to Diabetes Medication Administration Record (Part 1)

Your Road Map to Diabetes Medication Administration Record (Part 1) Your Road Map to Diabetes Medication dministration Record (Part 1) Ohio Revised ode (3313.713) is the education law that addresses prescriptive medication administration in Ohio schools. This OR lists

More information

Clinical Impact of An Inpatient Diabetes Care Model. Objectives

Clinical Impact of An Inpatient Diabetes Care Model. Objectives Clinical Impact of An Inpatient Diabetes Care Model Beth Pfeffer MSN, RN CDE June 4, 2014 Objectives 1. Examine the development of the role of the diabetes case manager model in the inpatient setting 2.

More information

Insulin Dose Adjustment REAL-Time CGMS Guidelines for Subjects on Pump Therapy

Insulin Dose Adjustment REAL-Time CGMS Guidelines for Subjects on Pump Therapy Insulin Dose Adjustment REAL-Time CGMS Guidelines for Subjects on Pump Therapy In addition to using the blood sugar logs to adjust your insulin doses every week, you should also use your continuous glucose

More information

Mind the Gap: Navigating the Underground World of DKA. Objectives. Back That Train Up! 9/26/2014

Mind the Gap: Navigating the Underground World of DKA. Objectives. Back That Train Up! 9/26/2014 Mind the Gap: Navigating the Underground World of DKA Christina Canfield, MSN, RN, ACNS-BC, CCRN Clinical Nurse Specialist Cleveland Clinic Respiratory Institute Objectives Upon completion of this activity

More information

Borgess Diabetes Center PATIENT REGISTRATION/DEMOGRAPHICS

Borgess Diabetes Center PATIENT REGISTRATION/DEMOGRAPHICS Borgess Diabetes Center PATIENT REGISTRATION/DEMOGRAPHICS Please complete the following form by filling in the blanks or by circling the answer provided. Last Name: First Name M.I. Address: City, State,

More information

PER-sub: Application FORENSIC PSYCHIATRY

PER-sub: Application FORENSIC PSYCHIATRY DEFINITION OF A SCOPE OF PRACTICE: i) Every physician s scope of practice is unique. ii) A physician s scope of practice is determined by the patients the physician cares for, the procedures performed,

More information

PHYSICIAN ORDERS TRANSIENT ISCHEMIC ATTACK (TIA) OBSERVATION

PHYSICIAN ORDERS TRANSIENT ISCHEMIC ATTACK (TIA) OBSERVATION SCREENING- ABCD-2 Score The ABCD2 score is a risk assessment tool designed to improve the prediction of short-term stroke risk after a transient ischemic attack (TIA). Higher ABCD2 scores are associated

More information

Insulin Pump Therapy in Older Adults

Insulin Pump Therapy in Older Adults Insulin Pump Therapy in Older Adults Joshua Akers, PharmD Candidate, 2007 College of Pharmacy Washington State University Spokane, WA Phone: 509-432-3332 Email: akersjoshua@hotmail.com and Stephen M. Setter,

More information

Insulin Analogues versus Pump Therapy in Type 2 Diabetes: Benefits from Pump Therapy

Insulin Analogues versus Pump Therapy in Type 2 Diabetes: Benefits from Pump Therapy Insulin Analogues versus Pump Therapy in Type 2 Diabetes: Benefits from Pump Therapy Eric RENARD, MD, PhD Endocrinology Dept, Lapeyronie Hospital Montpellier, France e-renard@chu-montpellier.fr Type 2

More information

Dosage Calculations Packet

Dosage Calculations Packet Dosage Calculations Packet Unit I Basic Mathematics Review This unit will review Arabic and Roman numerals, fractions, decimals, percentage, and ratio and proportion. ARABIC AND ROMAN NUMERALS Arabic and

More information

Anchor Bay School District Diabetic Medical Care Plan. Student Name Date Grade Teacher

Anchor Bay School District Diabetic Medical Care Plan. Student Name Date Grade Teacher Rev: 4/2009 Anchor Bay School District Diabetic Medical Care Plan Place Child s Picture Here Student Name Date Grade Teacher Emergency Contact information (Please list in order to be called) #1 Parent

More information

BLOOD GLUCOSE MONITORING MEDICATION

BLOOD GLUCOSE MONITORING MEDICATION DIABETES CARE FOR SCHOOL MEDICAL MANAGEMENT PLAN Most Recent A1C and Date: BLOOD GLUCOSE MONITORING Meter Type: Testing Independently: yes no Testing times: Before meals Two hours after insulin dosing

More information

The Diabetes Self Management Insulin Pump Therapy Program

The Diabetes Self Management Insulin Pump Therapy Program The Diabetes Self Management Insulin Pump Therapy Program Is part of a Nationally recognized program taught by CPT s Offers classes during the daytime in a three part series: PRE-PUMP CLASS SALINE START

More information

Guidelines for the Care Needed for Students with Diabetes

Guidelines for the Care Needed for Students with Diabetes Guidelines for the Care Needed for Students with Diabetes for the implementation of State Board of Education Rule 160-4-8-.18 Diabetes Medical Management Plans Version 1.0 Table of Contents (1) DEFINITIONS:...

More information

Availity s Streamlined Registration Approval Process for Providers in All Regions

Availity s Streamlined Registration Approval Process for Providers in All Regions Availity s Streamlined Registration Approval Process for Providers in All Regions Overview The Availity registration process includes four distinct paths customized by organization type: Provider Physician

More information

Starting patients on the V-Go Disposable Insulin Delivery Device

Starting patients on the V-Go Disposable Insulin Delivery Device Starting patients on the V-Go Disposable Insulin Delivery Device A simple guide for your practice For adult patients with Type 2 diabetes on basal insulin who need to take the next step Identify appropriate

More information

Insulin Administration: What You Don t Know May Hurt Your Patient

Insulin Administration: What You Don t Know May Hurt Your Patient Insulin Administration: What You Don t Know May Hurt Your Patient Jaime A. Davidson, MD, FACP, MACE Clinical Professor of Internal Medicine UT Southwestern Medical Center Dallas, Texas Jaime A. Davidson,

More information

The Nursing Department of Central CUSD 301 provides nursing services that promote students ability to learn. Our goals are to:

The Nursing Department of Central CUSD 301 provides nursing services that promote students ability to learn. Our goals are to: Date Dear (Parent / Guardian), The Nursing Department of Central CUSD 301 provides nursing services that promote students ability to learn. Our goals are to: o Assist students in learning how to take care

More information

Diabetes and Technology. Disclosures Certified Insulin Pump Trainer for: Animas Medtronic Diabetes Omnipod. Rebecca Ray, MSN, APRN, FNP-C

Diabetes and Technology. Disclosures Certified Insulin Pump Trainer for: Animas Medtronic Diabetes Omnipod. Rebecca Ray, MSN, APRN, FNP-C Diabetes and Technology Rebecca Ray, MSN, APRN, FNP-C Insulin Pump Therapy and Continuous Glucose Monitoring In Patients with Type 2 Diabetes Page 1 Disclosures Certified Insulin Pump Trainer for: Animas

More information

Example 3: Dilantin-125 is available as 125 mg/5 ml. Dilantin-125, 0.3 g PO, is ordered. How much should the nurse administer to the patient?

Example 3: Dilantin-125 is available as 125 mg/5 ml. Dilantin-125, 0.3 g PO, is ordered. How much should the nurse administer to the patient? Drug Dosage & IV Rates Calculations Drug Dosage Calculations Drug dosage calculations are required when the amount of medication ordered (or desired) is different from what is available on hand for the

More information

Amarillo Medical Specialists, LLP Endocrinology Division

Amarillo Medical Specialists, LLP Endocrinology Division Amarillo Medical Specialists, LLP Endocrinology Division Technical Notes for use of IV Insulin Drip Protocol William C Biggs, MD FACE updated February 2011 1) Introduction Improved insulin control for

More information

When calculating how much of a drug is required, working with the formula helps the accuracy of the calculation.

When calculating how much of a drug is required, working with the formula helps the accuracy of the calculation. DRUG CALCULATIONS When calculating how much of a drug is required, working with the formula helps the accuracy of the calculation. Always remember this formula: What you want X Quantity it comes in What

More information

8D :: Problem Solving Worksheet

8D :: Problem Solving Worksheet Tracking Number: Customer Number: Response Due Date: 8D :: Problem Solving Worksheet 8-D is a quality management tool and is a vehicle for a cross-functional team to articulate thoughts and provides scientific

More information

BIAsp30 A 1 chieve Tehran 31 July 2015

BIAsp30 A 1 chieve Tehran 31 July 2015 BIAsp30 A 1 chieve Tehran 31 July 2015 Beginning insulin with biphasic insulin aspart 30: experience from the A 1 chieve study Professor Philip Home Newcastle University Presenter and sponsor duality of

More information

Your blood sugar will be checked on arrival to Endoscopy and monitored whilst you are there.

Your blood sugar will be checked on arrival to Endoscopy and monitored whilst you are there. GASTROSCOPY TABLET CONTROLLED DIABETES (Including injectable medication which is not insulin) MORNING APOINTMENT Take your tablets as normal on the day before the test. On the day of the test: Omit your

More information

General PROVIDER INITIALS: PHYSICIAN ORDERS

General PROVIDER INITIALS: PHYSICIAN ORDERS Height Weight Allergies If appropriate for patient condition, please consider the following order sets: Initiate Electrolyte Replcement: Med/Surg, Med/Surg Tele Physician Order #842 General Vital Signs

More information

February 2016. page 1 / 9

February 2016. page 1 / 9 February 2016 page 1 / 9 page 2 / 9 Alternative Medicines Corner Advising on this article: Nicole M. Maisch February 1, 2016 Melatonin supplementation may improve outcomes in children with atopic dermatitis

More information

Diabetes Medications: Insulin Therapy

Diabetes Medications: Insulin Therapy Diabetes Medications: Insulin Therapy Courtesy Univ Texas San Antonio Eric L. Johnson, M.D. Department of Family and Community Medicine Diabetes and Insulin Type 1 Diabetes Autoimmune destruction of beta

More information

Emma Jenkins BSc, RD, CEDT Diabetes Specialist Dietitian Royal Bournemouth Hospital Dorset, UK. Pens & calculators at the ready?!...

Emma Jenkins BSc, RD, CEDT Diabetes Specialist Dietitian Royal Bournemouth Hospital Dorset, UK. Pens & calculators at the ready?!... Emma Jenkins BSc, RD, CEDT Diabetes Specialist Dietitian Royal Bournemouth Hospital Dorset, UK Pens & calculators at the ready?!... Robert, age 42. Type 1 diabetes for 26yrs. HbA1c 76mmols/mol 2 recent

More information