Outpatient Surgery Magazine

Hassle-Free Pre-Op Screening - October 2012 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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OSE_1210_part3_Layout 1 10/5/12 3:32 PM Page 111 DIABETIC MANAGEMENT Insulin Regimens in Diabetic Patients Insulin Regimen Day Before Surgery Day of Surgery Insulin pump No change; use "sick day" or "sleep" basal rates No change; use "sick day" or "sleep" basal rates Long-acting, peakless insulins 75% of evening dose if history of nocturnal or morning hypoglycemia is present 75% to 100% of morning dose, administered upon arrival to the facility Intermediate-acting insulins No change in the day- 50% to 75% of morning time dose; 75% of dose, administered evening dose if history upon arrival of nocturnal or morning hypoglycemia is present Fixed combination insulins 75% of evening dose if history of nocturnal or morning hypoglycemia is present 50% to 75% of morning dose of intermediateacting component; neutral protamine Hagedorn in place of lispro-protamine Short- and rapidacting insulin No change Hold the dose Non-insulin injectables No change Hold the dose Adapted from the Society for Ambulatory Anesthesia's Consensus Statement on Perioperative Blood Glucose Management in Diabetic Patients Undergoing Ambulatory Surgery. O C T O B E R 2012 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 1 1 1

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