Hyperglycemia protocol.


Mr. Rover is a 59-year-old man admitted from the ED to the medical unit at 0930 for antibiotic treatment and monitoring due to urosepsis. His PMHx is significant for Type 1 Diabetes with an A1C last month of 8.2. He has BPH and HTN. His wife of 35 years states that he has not been compliant with his diabetes in all the years she has known him.  He has no surgical history. No known allergies.

His admission orders are:

⦁ Vital Signs q4hr

⦁ IV NS 0.9% 100ml/hr

⦁ Flagyl 250 mg IV q12 hr

⦁ CBG monitoring TID before meals.

⦁ Humalog as per sliding scale:

CBG mmol/L Insulin

0-4 0 units, follow hypoglycemia protocol

4.1-7.0 0 units

7.1-8.0 2 units

8.1-9.0 4 units

9.1-10.0 6 units and call MD

10.0 and over Call MD Stat and follow Hyperglycemia protocol.