Unique Plan Description: Pre-operative Glucose Management Protocol (JE)
Plan Selection Display: Pre-operative Glucose Management Protocol (JE)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2019-08-05 10:30:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 10:46:53
Available at all facilities: No

Pre-operative Glucose Management Protocol (JE)
Laboratory
	Glucose POC - RN
		T;N
			Comment: 15 minutes after Dextrose 50% or Insulin administered
Medications
		IF Blood Glucose < 70 mg/dL:(NOTE)*
	Dextrose 50% (JE)
		50 mL, Injection, IV Push, Once, STAT
		IF Blood Glucose >200 mg/dL, and patient is known diabetic:(NOTE)*
	Standard Dose NovoLOG
		2-12, units, Injection, SUBCUTANEOUS, Once, sliding scale, STAT
			Comment: << Sliding Scale Comments >>Under 200, Do not give any insulin, 200 - 249 = 4 units, 250 - 299 = 6 units, 300 - 349 = 8 units, 350 - 399 = 10 units. Over 399 = 12 units
Patient Care
	Notify Anesthesia if:
		T;N
			Comment: Notify Anesthesia if Dextrose 50%, Insulin is administered to a known diabetic or blood glucose>200mg/dL in a non-diabetic patient

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase