The amount of insulin to correct a blood glucose level above the students target range. Preston drew a blueprint of an additional room he is planning to add to his house. Inpatient management of hyperglycemia and diabetes vasudev magaji, md, ms, and jann m. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Scale drawing a reduced or enlarged drawing whose shape is the same as an actual object that it represents. The most frequently used treatment regimen has been the ubiquitous sliding. The most commonly used longacting insulin is lantus, so i am going to use that name in this article. Scale drawings notes loudoun county public schools.
Dec 28, 2016 your sheet format should have the note do not scale drawing to reinforce the point. Rotate the sides right, left of your body where you. Eliminate traditional monotherapy sliding scale dosing. The caveat is that drawings made in 1921 are unlikely to call out asme y14. The lantus solostar prefilled pen dials in 1unit increments. A basalprandial dosing option for nonintensive care. Use lantus solostar prefilled pen with caution in patients with visual impairment who may rely on audible clicks to dial their dose. On a map of florida, the distance between coral springs and fort lauderdale is about 4. If i do use a sliding scale, i want them to have a low threshold to call me. Optimizing glucose management in hospitalized patients using a.
A site plan is a large scale drawing that shows the full extent of the site for an existing or proposed development. Umc adult sliding scale insulin orders patient label here insulin sliding scale dose blood glucose mgdl low dose moderate dose high dose lantus solostar prefilled pen dials in 1unit increments. Outpatient management of diabetes uses evidencebased guidelines for management and stresses tight glycemic control. In addition to the increasing prevalence of diabetes in the united states. Lantus insulin glargine, a longacting insulin is used for treating type 1 q. Guidelines for inpatient diabetes management these recommendations do not take into account individual patient situations, and do not substitute for clinical judgment. Insulin protocols for hospital management of diabetes. On the blueprint, 1 centimeter is equal to 4 feet in the actual room. Never share an apidra solostar pen between patients, even if the needle is changed. In this session we will look again at setting up your drawing sheet, viewports, scaling viewports and printing your work once youve drawn your work in the model space and youre ready to print, you need to set up your drawing sheet layout i. Insulin is usually injected in the fat under your skin using a syringe, insulin pen or insulin pump tubing. We just launched measure pdf a new tool for interactively measuring pdf documents. You may need to zoom in to at least 50% size to read the scale for the part of the drawing you wish to measure. I also need this i need a how to paper on proper insulin combining and what insulins cannot be mixed with each other.
Measure drawings, scanned docs and photos saved as pdf by entering the scale of your drawing and one site measurement. Can lantus be used as a sliding scale with my current insulin of. Once again, this will vary from student to student. Side view 77kb front and back views 73kb sample drawings and instructions also can be downloaded in pdf format. Introduction to engineering design flashcards quizlet. Inpatient hyperglycemia management of the nonpregnant adult consider a diabetes endocrine or medicine consult. Default administration times can be adjusted as required, by clicking the frequency drop down arrow, and then clicking the ellipsis button. A scale drawing represents something that is too large or too small to be drawn at actual size. Nurses observation scale for inpatient evaluation nosie.
Even if a technical drawing has no standard scale, you can easily measure distances using pdf annotator. They come from all over the world to share, learn, and network. Stepwise dosing and titration of insulin for type 2 diabetes in the ambulatory setting update 52010. Refrigerate unused unopened lantus vials and solostar prefilled pens. Premixed insulin can be helpful for people who have trouble drawing up insulin out of two bottles and reading the correct directions and dosages. The relationship between the measurements on a drawing or model and the measurements of the real object. Calculate area dimensions in cad drawings or measure distance between lines. Nickeled lead holder attachment and nylon tracer point.
Sliding scale insulin does not take into account basal insulin needs, diet type and amount, and personal. The contractor shall document all asbuilt information not shown on the approved plans and provide that information to the developers engineer for incorporation into the final asbuilt drawings. Drawings and instructions for the quarter scale merlin were created to accompany the castings they are not available separately. Given an architect or engineer scale and a set of scaled drawings, you will be able to select the correct scale tool. How to measure distances in technical drawings pdf annotator. Nursing staff will document the administered insulin dose and bgl, and this will be recorded.
Lantus should be administered once a day at the same time every day. Through the openers, i have tried to spiral the concept of unit rate throughout the entire course, thus applying it in this lesson does not come as a major. Honifeld and cj klett, is a 30item scale designed to assess the behaviour of patients on an inpatient unit 1,2 the scale was developed in 1965 and still used with a moderate degree of frequency. Highlights of prescribing information hyperglycemia or. They are usually injected about 10 minutes before mealtime. Our members, staff, and writers represent more than 60 professional nursing specialties. Stepwise dosing and titration of insulin for type 2. Optimizing glucose management in hospitalized patients. All construction staking is the responsibility of the developer. If you continue browsing the site, you agree to the use of cookies on this website. All dimensions on this drawing are to be compared do not.
That being said, i tend to manage the glucose of my patients relatively tight. Hello all, do any of you use a sliding scale for lantus dosing at bedtime. In most cases, site plans will be drawn up following a series of desk studies and site investigations. Measuring distances in pdf documents is really easy. Scalemodelplans plan packages are available in actual size drawings for n scale, ho scale, oo scale, and o scale structures, but can easily be used for other scales as well. Evidencebased information on sliding scale insulin regimes from hundreds of trustworthy sources for health and social care. If changing patients from oncedaily nph insulin to oncedaily lantus, the recommended initial lantus dose is the same as the dose of nph that is being discontinued. 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. Most doctors advise against the sliding scale approach.
In slidingscale insulin therapy, the dose is based on your blood sugar level. Change here on the tab primary units the scale factor from 1 to 0. Recommended drawing numbering, scales and dimensioning 1 3. Drawings with inadequate dimensions solidworks forums. Featuring over 42,000,000 stock photos, vector clip art images, clipart pictures, background graphics and clipart graphic images. 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. If changing patients from twicedaily nph insulin to oncedaily lantus, the recommended initial lantus dosage is 80% of the total nph dose that is being discontinued. Hold the syringe with the scale at eye level to see that the proper dose is withdrawn and to check for air bubbles. If you frequently work with technical drawings, pdf annotator can be really helpful by providing a set of. The goal of insulin therapy is to keep your blood sugar levels within a target range. Our purpose is to drive change to defeat diabetes and other serious chronic diseases such as obesity and rare blood and endocrine disorders. Lantus compared with sliding scale insulin in patients who had bariatric. Insulin therapy is a critical part of treatment for people with type 1 diabetes and also for many with type 2 diabetes. Oct 21, 2010 scale drawings slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising.
Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 30 minutes. I frequently use long acting insulins, usually lantus, for their basal insulin requirements, and then either a supplemental if i know theyre going to eat well or a sliding scale. Lantus sliding scale pdf in sliding scale insulin therapy, the dose is based on your blood sugar level. Stepbystep patient injection guide becton dickinson. In fact, the american diabetes association have pushed for this treatment method to no longer be used. Lantus glargine or levemir detemir or nph insulin a1c greater than 8% on 2 or 3. As the nighttime scale only considers the amount of insulin required to drop your blood sugar level back into the target range, it should not be used to cover a bedtime snack. The nurses observation scale for inpatient evaluation nosie is a highly sensitive ward behaviour rating scale. Glycemic control in hospitalized patients not in intensive. Tap gently on the measuring scale of the syringe to move any bubbles to the top of the syringe near the needle. I have no financial ties to the maker of lantus i use that name because it is the name most commonly used by patients. Lantus and levemir should be given at the same time of day irrespective of meals. Novo nordisk is a leading global healthcare company, founded in 1923 and headquartered in denmark.
Sliding scale regimens may include a bedtime high blood sugar correction. Stock illustrations by 800 5 114 black blue binary system code background drawings by dolgachov 4 15 numerical digits 3 three stock illustration by djmilic 1 27 3d numerical wooden blocks stock illustration by 3dalia 1 18 number set. If preston wants the room to measure 12 feet by 16 feet, what are these dimensions on the blueprint. Please practice handwashing and social distancing, and check out our resources for adapting to these times. 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. Sliding scale insulin regimes evidence search nice. I know you pull up the clear before cloudy as to not contaminate the regular with long.
All dimensions on this drawing are to be compared to architectural do not scale these drawings. In a typical day, between 2028 units multiple times a day. Module lengths for all scales will be 4, 6, or 8 with 2 allowed as a spacer or transition module. Dosing lantus insulin glargine injection 100 unitsml.
Is humalog maybe not the right choice if i need such high dosing. They will consider how to choose an appropriate s objective students will create a detailed scale drawing. Determine the distribution of the tdd calculated above based on nutrition regimen. Distances on a scale drawing or model are proportional to the reallife distances they represent. Setting up templates for other scales ho, n, o and oo scale. Rotate the sides right, left of your body where you inject within. If you frequently work with technical drawings, pdf. Insulin dose calculation sliding scale diabetestalk. The default dosing range sliding scale in order comments can be adjusted as required. In sliding scale insulin therapy, the dose is based on your blood sugar level.
For saving this setting for new orthographic drawings of this project, configure the dimension style in the orthographic template. General notes are not attached to a view, symbol, or other object in the drawing. Add general notes to drawing inventor lt 2016 autodesk. Adult sliding scale for insulin aspart novolog umc health system. Using engineer and architect scales a primer us fire. How to set up the dimensions in meters for orthographic drawings. We do so by pioneering scientific breakthroughs, expanding access to our medicines and working to prevent. Nat h sbot mat son spot using a scale drawing to find area a scale drawing is a proportional twodimensional drawing of an object. Confirm any single dose of intermediatelong acting insulin over 50 units and any dose over 25 units of short acting insulin and document. Find out how it works and learn about problems with this diabetes.
In this session we will look again at setting up your drawing. They will continue to use ratio and proportion in the study of similar figures. The scale for a drawing is the ratio between the size of the drawing and the actual size of the object. Find out how it works and learn about problems with this. My book of invention drawings variations on normal is out now, you can buy it here. It may be stated as a stepwise correction or sliding scale or may need to be calculated by a formula to determine dose. In drawings, the default text format is controlled by the active standards object default style. I found n to be too unpredictable so i was glad to switch to lantus when it came out.
How the sliding scale works the sliding scale is actually a chart of insulin dosages. Pantograph drawing tool to copy, reduce, or enlarge art. As a class, you will create enlargements of this house using several different scales. So youd have to dig up whatever spec is called out on those drawings to gather the interpretation of missing dimensions. Usual doses are small, as they begin working quickly and the patient receives the benefit of the full dose immediately. Do not administer intravenously or via an insulin pump. Examples are insulin glargine lantus and insulin detemir levemir. In this video, you will learn how to use the correction factor and insulin to carb ratio on a sliding scale to determine how much insulin to give with a meal. The recommended starting dose of lantus in patients with type 2 diabetes who are not currently treated with insulin is 0. Johnston, md u ncontrolled hyperglycemia in hospitalized patients with or without a previous diagnosis of diabetes is associated with adverse outcomes and longer lengths of stay. Context students have used tools to measure length, solve proportions, and interpret scale drawings.
Measure areas, perimeters and lengths on pdf drawings foxyutils. Standard and plus customers can now open dwg drawings as well as pdf. The sliding scale is one way of working out how much insulin to take before each meal. Explore video in this lesson, students are using their knowledge of ratios and proportional reasoning to find unit rate, and thus solve for unknowns in scale problems. Application, exploration and realisation in art and. After you decide on a certain order for drawing up your insulin, you should use the same order each time. Scale drawings can represent objects that are smaller or larger than the actual object. You need to talk with your doctor or see a specialist who deals with diabetes. The pantograph includes nickeled table anchor, clamps and instructions. The pantograph is a tool for the reproduction of drawings. Optional you can add the suffix m in the field suffix.
Johns hopkins hospital glucose management committee. Administer 10 units subcut, notify provider, and repeat. Recommended drawing numbering, scales and dimensioning 2 3 the recommendation scales for key architectural drawings are as follows. Ive been taking lantus at bedtime for about a month and i never seem to get any type of consistent morning blood sugar reading with the same dose. Learners will need to apply their knowledge of, and skill in, working with a variety of specialist materials. Site plan designing buildings wiki share your construction industry knowledge. Included instructions help with the operation of the pantograph. Adult sliding scale for insulin regular novolin r umc health. Paraline drawings another method used for 3d presentation drawings the view is not as realistic as a perspective quick and easy to convey idea to show the design of an interior room isometric both length and width are at the same angle, which are typically 3030, 4545, and 6060 degrees all the vertical and horizontal.
Ive witness nurses incorrectly drawing cloudy before clear, and mixing regular with lantus. Correctional subcutaneous sliding scale insulin to be administered indicate frequency. Lantus basalpr egimen indications and usage for lantus lantus is a longacting insulin analog indicated to improve glycemic control in adults and children 6 years and older with type 1 diabetes mellitus and in adults with type 2 diabetes mellitus. It is also useful for those who have poor eyesight or dexterity and is convenient for people whose diabetes has been stabilized on this combination. Paraline drawings fcs246 visual communication for interior. Using a pantograph you make a direct copy or scale the drawing, reduce or enlarge. When using a sliding scale, eat the same amount of carbohydrate at each meal. Construction drawings for the building trades new york chicago san francisco lisbon london madrid mexico city milan new delhi san juan seoul singapore sydney toronto sam a. Military drawings and manuals aircraft drawing and manuals maritime drawings and manuals civil drawings and manuals. Chapter 21 adjusting the insulin dosage and thinking scales hours, the evening nph or lantus given at it is important to emphasize that sliding. Site plans, along with location plans, may be necessary for planning applications. The best strategy is to take a scale larger than your target scale and reduce it, rather than taking a smaller scale and scaling up. Hyperglycemia or hypoglycemia with changes in insulin regimen.
Introduction to scale drawings in construction steve jarvis. And why to make a foundation drawing, as in example 3 you will study both twodimensional and threedimensional. Using sliding scale to determine insulin dose youtube. Click the image to view the full post with the comments people have made. These are constructed on the principle already explained for scales for general plans, but are designed to give facilities for measuring fractions of the inch, just as the division to the extreme left of scales, such as in fig. One may need to adjust the amount and timing of short or rapidacting insulins and dosages of any oral antidiabetic drugs. Doctors give trusted answers on uses, effects, sideeffects, and cautions.
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