I recently had an elderly, ill gentleman discharged from the hospital, who was not a new diabetic, but new to insulin. He had steroid induced hyperglycemia, and would need a correction aspart coverage until his Prednisone was tapered off. He was struggling in the hospital, and suggestions of a home health care nurse were made — however, he is the caretaker for his elderly wife with dementia, and insisted on going home alone….
I spent a great deal of time with him writing out, and practicing a correction scale. I personally placed the order for his 3/10th syringes in the med list, as he had poor vision and drawing up 2, 4, 6 units with a U-100 would have been difficult. This is the snapshot of what printed on his med list to go home:
- BD INSULIN SYRINGE ULTRA-FINE 0.3 mL 30 x 1/2″ Syrg
- Use as directed 3 times daily before meals. For: DIABETES MELLITUS
- Associated Diagnoses: DM type 2 (diabetes mellitus, type 2)
Place the generic name of a syringe on a med list, and write, “as needed” for frequency, instead of “before meals.”
Christine Henson RN, BSN, CDE
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