BY BERNARD P. SHAGAN, M.D.,
Why Sliding-Scale Insulin Coverage Doesn’t Work This article has been reprinted on behalf of the San Joaquin County Hospitals Diabetes Special Interest Group (SJCH-DSIG) for the reading pleasure of SCCMA-MCMS members.
“It is easy to get a thousand prescriptions but hard to get one single remedy” - Chinese Proverb You are treating a patient admitted to the hospital for Streptococcus pneumoniae pneumonia. You write the following orders:
1. Check the patient’s
4. If it is between 102.1
temperature every four hours.
and 103 give penicillin 1,200,000 units.
2. If the temperature
5. If it is between 103.1
is below 101° F, give no antibiotic.
and 104 give penicillin 2,400,000 units.
3. If it is between 101
6. If it is above 104,
and 102 give penicillin 600,000 units IV.
call the doctor.
work backward? MARCH / APRIL 2015 | THE BULLETIN | 31