During acute episodes of sickness, please consult clinician. 1) Severe hypoglycemia: An requiring assistance of another person to actively administer carbohydrates, glucagon, or other resuscitative actions. These episodes may be associated with sufficient neuroglycopenia to induce seizure or coma. Plasma glucose measurements may not be available during such an event, but neurological recovery attributable to the restoration of plasma glucose to normal is considered sufficient evidence that the event was induced by a low plasma glucose concentration. 2) Documented symptomatic hypoglycemia: An during which typical symptoms of hypoglycemia are accompanied by a measured plasma glucose concentration <70 mg/dl (3.9 mmol/l). Title RN Diabetes Medication Titration Protocol Author : Thad Date of Origin 10/2011 Schilling, MD Reviewed/ Revised Quality Date(s) 10/6/2011 by Assurance Reviewed/ Committee Revised Approved by Clinical Date 11/10/2011 Leadership Approved Responsible for Thad Schilling , MD Implementation Keywords Diabetes, Protocol, Nursing, Medication, Metformin, Metformin ER SharePlace Site TBD Glimepiride (Amaryl) Sulfonylurea –
During acute episodes of sickness, please consult clinician. 1) Severe hypoglycemia: An requiring assistance of another person to actively administer carbohydrates, glucagon, or other resuscitative actions. These episodes may be associated with sufficient neuroglycopenia to induce seizure or coma. Plasma glucose measurements may not be available during such an event, but neurological recovery attributable to the restoration of plasma glucose to normal is considered sufficient evidence that the event was induced by a low plasma glucose concentration. 2) Documented symptomatic hypoglycemia: An during which typical symptoms of hypoglycemia are accompanied by a measured plasma glucose concentration <70 mg/dl (3.9 mmol/l). Title RN Diabetes Medication Titration Protocol Author : Thad Schilling, MD Date of Origin 10/2011 Reviewed/ Revised by Quality Assurance Committee Date(s) Reviewed/ Revised 10/6/2011 Approved by Clinical Leadership Date Approved 11/10/2011 Responsible for Implementation Thad Schilling , MD Keywords Diabetes, Protocol, Nursing, Medication, Metformin, Metformin ER SharePlace Site TBD Glimepiride (Amaryl) – Sulfonylurea
RN-Step4-HVMA-DM%20Med%20Titration_May%202013%20revision.docx