GOOD SHEPHERD MED.CTR. / MARSHALL

811 South Washington● Marshall, Texas 75670

(903) 927-6000

ORTHOPAEDIC ORDERS

SLIDING SCALE

  1. FSBG AC & HS
  2. SLIDING SCALE WITH SUBCUTANEOUS REGULAR INSULIN

Finger stick / Blood Sugar (mg/dl)

Document the number of units of Insulin

0-60

  • For blood sugar less than 60 mg/dl,

A.     If patient can take PO, give 15 grams of carbohydrate (4 oz juice/non diet soda)

B.     If patient cannot take PO, give 25 ml of D-50 as IV push

C.     Check finger capillary glucose after 15 minutes and repeat above if blood sugar  less than 80 mg/dl

61-120

No insulin

121-160

2 Units

161-200

4 Units

201-240

6 Units

241-280

8 Units

281-320

10 Units

321-360

12 Units

361-400

14 Units

over 400 : give insulin and call patient’s internist

16 Units

  

                       

                      ____________________     

                      D. Waldman, MD   [date/time]