Perioperitive+Diabetic+Guidelines


 * 1) In general, surgeons should operate on diabetic patients as early in the morning as possible.
 * 2) A patient on Lantus or NPH insulin should take 80% of the dose the night before.
 * 3) Bowel prep patients should receive 1/2 of the AM and PM insulin doses throughout the duration of the bowel prep. They should monitor their glucose levels vigilantly and replenish with clear liquid glucose as necessary
 * 4) No solid food after midnight prior to surgery.
 * 5) Clear liquid until 6 hours prior to surgery (both AM and PM cases). Jello, apple juice, clear soda, clear broth, and tea
 * 6) Patient arrives in surgery holding area at 0600 or 2 hours prior to AM surgery.
 * 7) Patient arrives in surgery holding area 4 hours prior to PM surgery.
 * 8) Patient holds all insulin and oral hypoglycemic on the day of surgery.
 * 9) Upon arrival of the patient, the PACU nurse
 * 10) Performs checmistix and notifies anesthesiologist of result above 200 mg/dl or below 80 mg/dl
 * 11) Starts IV DVLR at 125ml/hr rate. For patient age 8 or under, consult anesthesiologist
 * 12) Administers NPH insulin subcutaneously 1/2 of total AM dose regardless of type of insulin patient is on.
 * 13) PACU nurse performs postop chemstix. Notify anesthesiologist of result above 200 mg/dl or below 80 mg/dl
 * 14) If a patient if hypoglycemic (chemstix < 80) while NPO prior to coming to the hospital they can take clear liquids such as apple juice.

This page has been edited {$pagerevisions} times. The last modification was made by user:{$revisioneditor} on {$revisiondate}