CLINICAL QUERIES: When should I use an insulin sliding scale?
Joan E. King RN,C, ACNP, ANP, PhD
Kathleen Wolff FNP, BC-ADM, MSN

$3.95
Nursing2015
November 2004 
Volume 34  Number 11
Pages 73 - 73
 
  PDF Version Available!

ABSTRACT
Outline

  • SELECTED REFERENCES

    Our hospital uses a sliding scale for insulin administration, but I recently read that this approach isn't always the best. What are the pros and cons of using a sliding scale? —R.O., GA.

    Joan E. King, RN,C, ACNP, ANP, PhD, and Kathleen Wolff, FNP, BC-ADM, MSN, reply: Insulin therapy aims to stabilize a patient's serum glucose levels with respect to future carbohydrate intake, rather than retrospectively treating an increase in serum glucose. Using a sliding scale to correct a high glucose level creates a greater risk of peaks and valleys in the patient's serum glucose, so it shouldn't be the sole form of insulin therapy. Although you can use a sliding scale dose to bring down an elevated glucose level, it may not do so for several hours—and it may increase the risk of hypoglycemia.

    The American Diabetes Association recommends that a patient's blood glucose level be less than 180 mg/dl ...

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!


Cost:$3.95
1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Password


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.


Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.






jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events