The scale for a drawing is the ratio between the size of the drawing and the actual size of the object. Insulin therapy is a critical part of treatment for people with type 1 diabetes and also for many with type 2 diabetes. Drawings with inadequate dimensions solidworks forums. Military drawings and manuals aircraft drawing and manuals maritime drawings and manuals civil drawings and manuals. In this session we will look again at setting up your drawing. General notes are not attached to a view, symbol, or other object in the drawing. Find out how it works and learn about problems with this. I found n to be too unpredictable so i was glad to switch to lantus when it came out. Optimizing glucose management in hospitalized patients using a.
Preston drew a blueprint of an additional room he is planning to add to his house. Can lantus be used as a sliding scale with my current insulin of. Click the image to view the full post with the comments people have made. Application, exploration and realisation in art and. The amount of insulin to correct a blood glucose level above the students target range. The recommended starting dose of lantus in patients with type 2 diabetes who are not currently treated with insulin is 0. How the sliding scale works the sliding scale is actually a chart of insulin dosages. Explore video in this lesson, students are using their knowledge of ratios and proportional reasoning to find unit rate, and thus solve for unknowns in scale problems.
Using a pantograph you make a direct copy or scale the drawing, reduce or enlarge. Rotate the sides right, left of your body where you. Ive been taking lantus at bedtime for about a month and i never seem to get any type of consistent morning blood sugar reading with the same dose. One may need to adjust the amount and timing of short or rapidacting insulins and dosages of any oral antidiabetic drugs. Dec 28, 2016 your sheet format should have the note do not scale drawing to reinforce the point. Using sliding scale to determine insulin dose youtube. For saving this setting for new orthographic drawings of this project, configure the dimension style in the orthographic template. So youd have to dig up whatever spec is called out on those drawings to gather the interpretation of missing dimensions. If you frequently work with technical drawings, pdf. After you decide on a certain order for drawing up your insulin, you should use the same order each time. Insulin protocols for hospital management of diabetes. Highlights of prescribing information hyperglycemia or. As a class, you will create enlargements of this house using several different scales.
Determine the distribution of the tdd calculated above based on nutrition regimen. Umc adult sliding scale insulin orders patient label here insulin sliding scale dose blood glucose mgdl low dose moderate dose high dose lantus solostar prefilled pen dials in 1unit increments. Adult sliding scale for insulin aspart novolog umc health system. Learners will need to apply their knowledge of, and skill in, working with a variety of specialist materials. Premixed insulin can be helpful for people who have trouble drawing up insulin out of two bottles and reading the correct directions and dosages. Optional you can add the suffix m in the field suffix. Measure areas, perimeters and lengths on pdf drawings foxyutils. Nat h sbot mat son spot using a scale drawing to find area a scale drawing is a proportional twodimensional drawing of an object. Never share an apidra solostar pen between patients, even if the needle is changed. Doctors give trusted answers on uses, effects, sideeffects, and cautions. Calculate area dimensions in cad drawings or measure distance between lines. Given an architect or engineer scale and a set of scaled drawings, you will be able to select the correct scale tool. Glycemic control in hospitalized patients not in intensive. If you frequently work with technical drawings, pdf annotator can be really helpful by providing a set of.
If preston wants the room to measure 12 feet by 16 feet, what are these dimensions on the blueprint. I also need this i need a how to paper on proper insulin combining and what insulins cannot be mixed with each other. It is also useful for those who have poor eyesight or dexterity and is convenient for people whose diabetes has been stabilized on this combination. Usual doses are small, as they begin working quickly and the patient receives the benefit of the full dose immediately. A site plan is a large scale drawing that shows the full extent of the site for an existing or proposed development. Site plans, along with location plans, may be necessary for planning applications. Johns hopkins hospital glucose management committee. In this video, you will learn how to use the correction factor and insulin to carb ratio on a sliding scale to determine how much insulin to give with a meal.
In most cases, site plans will be drawn up following a series of desk studies and site investigations. Recommended drawing numbering, scales and dimensioning 1 3. You need to talk with your doctor or see a specialist who deals with diabetes. Paraline drawings fcs246 visual communication for interior. Measure drawings, scanned docs and photos saved as pdf by entering the scale of your drawing and one site measurement. I have no financial ties to the maker of lantus i use that name because it is the name most commonly used by patients. Site plan designing buildings wiki share your construction industry knowledge. In sliding scale insulin therapy, the dose is based on your blood sugar level. As the nighttime scale only considers the amount of insulin required to drop your blood sugar level back into the target range, it should not be used to cover a bedtime snack. Through the openers, i have tried to spiral the concept of unit rate throughout the entire course, thus applying it in this lesson does not come as a major. Standard and plus customers can now open dwg drawings as well as pdf. I know you pull up the clear before cloudy as to not contaminate the regular with long.
Once again, this will vary from student to student. Drawings and instructions for the quarter scale merlin were created to accompany the castings they are not available separately. Adult sliding scale for insulin regular novolin r umc health. My book of invention drawings variations on normal is out now, you can buy it here. How to measure distances in technical drawings pdf annotator. And why to make a foundation drawing, as in example 3 you will study both twodimensional and threedimensional. Ive witness nurses incorrectly drawing cloudy before clear, and mixing regular with lantus. Construction drawings for the building trades new york chicago san francisco lisbon london madrid mexico city milan new delhi san juan seoul singapore sydney toronto sam a. Refrigerate unused unopened lantus vials and solostar prefilled pens. They come from all over the world to share, learn, and network. Pantograph drawing tool to copy, reduce, or enlarge art. The caveat is that drawings made in 1921 are unlikely to call out asme y14. Most doctors advise against the sliding scale approach.
Inpatient management of hyperglycemia and diabetes vasudev magaji, md, ms, and jann m. The contractor shall document all asbuilt information not shown on the approved plans and provide that information to the developers engineer for incorporation into the final asbuilt drawings. Recommended drawing numbering, scales and dimensioning 2 3 the recommendation scales for key architectural drawings are as follows. Lantus and levemir should be given at the same time of day irrespective of meals. On a map of florida, the distance between coral springs and fort lauderdale is about 4. In drawings, the default text format is controlled by the active standards object default style. Sliding scale insulin regimes evidence search nice. Tap gently on the measuring scale of the syringe to move any bubbles to the top of the syringe near the needle. In addition to the increasing prevalence of diabetes in the united states. Outpatient management of diabetes uses evidencebased guidelines for management and stresses tight glycemic control. Administer 10 units subcut, notify provider, and repeat. If changing patients from oncedaily nph insulin to oncedaily lantus, the recommended initial lantus dose is the same as the dose of nph that is being discontinued. Lantus basalpr egimen indications and usage for lantus lantus is a longacting insulin analog indicated to improve glycemic control in adults and children 6 years and older with type 1 diabetes mellitus and in adults with type 2 diabetes mellitus.
Eliminate traditional monotherapy sliding scale dosing. Do not administer intravenously or via an insulin pump. The default dosing range sliding scale in order comments can be adjusted as required. Rotate the sides right, left of your body where you inject within. Even if a technical drawing has no standard scale, you can easily measure distances using pdf annotator. Novo nordisk is a leading global healthcare company, founded in 1923 and headquartered in denmark. The most frequently used treatment regimen has been the ubiquitous sliding. The goal of insulin therapy is to keep your blood sugar levels within a target range. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Stepwise dosing and titration of insulin for type 2 diabetes in the ambulatory setting update 52010. Paraline drawings another method used for 3d presentation drawings the view is not as realistic as a perspective quick and easy to convey idea to show the design of an interior room isometric both length and width are at the same angle, which are typically 3030, 4545, and 6060 degrees all the vertical and horizontal. Default administration times can be adjusted as required, by clicking the frequency drop down arrow, and then clicking the ellipsis button.
Honifeld and cj klett, is a 30item scale designed to assess the behaviour of patients on an inpatient unit 1,2 the scale was developed in 1965 and still used with a moderate degree of frequency. Hello all, do any of you use a sliding scale for lantus dosing at bedtime. Add general notes to drawing inventor lt 2016 autodesk. We just launched measure pdf a new tool for interactively measuring pdf documents. Scalemodelplans plan packages are available in actual size drawings for n scale, ho scale, oo scale, and o scale structures, but can easily be used for other scales as well. Scale drawings can represent objects that are smaller or larger than the actual object. A basalprandial dosing option for nonintensive care. If you continue browsing the site, you agree to the use of cookies on this website. If changing patients from twicedaily nph insulin to oncedaily lantus, the recommended initial lantus dosage is 80% of the total nph dose that is being discontinued. Lantus sliding scale pdf in sliding scale insulin therapy, the dose is based on your blood sugar level. All dimensions on this drawing are to be compared do not. The most commonly used longacting insulin is lantus, so i am going to use that name in this article. Nurses observation scale for inpatient evaluation nosie. Measuring distances in pdf documents is really easy.
Change here on the tab primary units the scale factor from 1 to 0. Module lengths for all scales will be 4, 6, or 8 with 2 allowed as a spacer or transition module. The sliding scale is one way of working out how much insulin to take before each meal. Using engineer and architect scales a primer us fire. Sliding scale insulin does not take into account basal insulin needs, diet type and amount, and personal. Drawings, nets, and other models 10 chapter 1 tools of geometry what youll learn to make isometric and orthographic drawings to draw nets for threedimensional. Guidelines for inpatient diabetes management these recommendations do not take into account individual patient situations, and do not substitute for clinical judgment.
The pantograph is a tool for the reproduction of drawings. Chapter 21 adjusting the insulin dosage and thinking scales hours, the evening nph or lantus given at it is important to emphasize that sliding. Distances on a scale drawing or model are proportional to the reallife distances they represent. Lantus compared with sliding scale insulin in patients who had bariatric. They are usually injected about 10 minutes before mealtime.
Humalog sliding scale insulin coverage blood sugar result humalog insulin coverage subq 60 124 no coverage 125 150 2 units of humalog insulin subq 151 200 4 units of humalog insulin subq 201 250 6 units of humalog insulin subq 251 300 8 units of humalog insulin subq 301 350 10 units of humalog insulin subq. Lantus insulin glargine, a longacting insulin is used for treating type 1 q. In this session we will look again at setting up your drawing sheet, viewports, scaling viewports and printing your work once youve drawn your work in the model space and youre ready to print, you need to set up your drawing sheet layout i. Lantus glargine or levemir detemir or nph insulin a1c greater than 8% on 2 or 3. Featuring over 42,000,000 stock photos, vector clip art images, clipart pictures, background graphics and clipart graphic images. When using a sliding scale, eat the same amount of carbohydrate at each meal. How to set up the dimensions in meters for orthographic drawings. Dosing lantus insulin glargine injection 100 unitsml. Correctional subcutaneous sliding scale insulin to be administered indicate frequency. Oct 21, 2010 scale drawings slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising.
The lantus solostar prefilled pen dials in 1unit increments. Scale drawing a reduced or enlarged drawing whose shape is the same as an actual object that it represents. All construction staking is the responsibility of the developer. First described in 1934, what physicians typically refer to as sliding scale insulin ssi is fast or rapidacting insulin only, given subcutaneously, typically at meal times and sometimes bedtime, but only when blood glucose is above. In slidingscale insulin therapy, the dose is based on your blood sugar level. Insulin is usually injected in the fat under your skin using a syringe, insulin pen or insulin pump tubing. It may be stated as a stepwise correction or sliding scale or may need to be calculated by a formula to determine dose. Please practice handwashing and social distancing, and check out our resources for adapting to these times. They will continue to use ratio and proportion in the study of similar figures. Introduction to engineering design flashcards quizlet. We do so by pioneering scientific breakthroughs, expanding access to our medicines and working to prevent.
Scale drawings notes loudoun county public schools. I frequently use long acting insulins, usually lantus, for their basal insulin requirements, and then either a supplemental if i know theyre going to eat well or a sliding scale. Stepbystep patient injection guide becton dickinson. Introduction to scale drawings in construction steve jarvis. In fact, the american diabetes association have pushed for this treatment method to no longer be used. Find out how it works and learn about problems with this diabetes. Inpatient hyperglycemia management of the nonpregnant adult consider a diabetes endocrine or medicine consult.
A scale drawing represents something that is too large or too small to be drawn at actual size. Nickeled lead holder attachment and nylon tracer point. If i do use a sliding scale, i want them to have a low threshold to call me. Evidencebased information on sliding scale insulin regimes from hundreds of trustworthy sources for health and social care. Continue to repeat 10 units subcut and poc blood sugar checks every 30 minutes until blood glucose is less than 300 mgdl, then resume normal poc blood sugar check and insulin aspart sliding scale.
Lantus should be administered once a day at the same time every day. On the blueprint, 1 centimeter is equal to 4 feet in the actual room. Hyperglycemia or hypoglycemia with changes in insulin regimen. Our members, staff, and writers represent more than 60 professional nursing specialties.
Optimizing glucose management in hospitalized patients. That being said, i tend to manage the glucose of my patients relatively tight. Side view 77kb front and back views 73kb sample drawings and instructions also can be downloaded in pdf format. Nursing staff will document the administered insulin dose and bgl, and this will be recorded.
You may need to zoom in to at least 50% size to read the scale for the part of the drawing you wish to measure. Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 30 minutes. Stepwise dosing and titration of insulin for type 2. These are constructed on the principle already explained for scales for general plans, but are designed to give facilities for measuring fractions of the inch, just as the division to the extreme left of scales, such as in fig. Setting up templates for other scales ho, n, o and oo scale. Included instructions help with the operation of the pantograph. In a typical day, between 2028 units multiple times a day. Use lantus solostar prefilled pen with caution in patients with visual impairment who may rely on audible clicks to dial their dose. Context students have used tools to measure length, solve proportions, and interpret scale drawings.
Sliding scale regimens may include a bedtime high blood sugar correction. Hold the syringe with the scale at eye level to see that the proper dose is withdrawn and to check for air bubbles. The best strategy is to take a scale larger than your target scale and reduce it, rather than taking a smaller scale and scaling up. The relationship between the measurements on a drawing or model and the measurements of the real object. All dimensions on this drawing are to be compared to architectural do not scale these drawings.
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