Interchanged on a 1 unit : 1 unit ratio with same dosing frequency.
Approved to round DOWN to nearest whole unit if calculations result in dose in fractions.
Standard administration times: once daily (except qAM) = 2100, once daily in the morning = 0900, twice daily = 0900 and 2100, now = now
Patients with orders for the hospital’s adult sliding scale insulin order set have orders to implement the hospital’s hypoglycemia orders. However, some patients have orders for scheduled or PRN insulin without use of the sliding scale insulin order set. These patients may not have PRN orders for treatment of hypoglycemia.
To improve safety with insulin use, the following policy has been approved by the P&T Committee:
Allow pharmacists to automatically implement the ADULT Hypoglycemia Orders, if not previously ordered, for adult patients receiving the following:
Scheduled insulin
PRN insulin
The pharmacist would enter the HOSP Hypoglycemia Treatment Orders using No Cosign Required, under the name of the provider who ordered the insulin.
ORDERED FORMULATION
THERAPEUTIC INTERCHANGE
NOTES
insulin detemir
insulin glargine
Interchanged on a 1 unit : 1 unit ratio with same dosing frequency.
Approved to round DOWN to nearest whole unit if calculations result in dose in fractions.
Standard administration times: once daily (except qAM) = 2100, once daily in the morning = 0900, twice daily = 0900 and 2100, now = now
Patients with orders for the hospital’s adult sliding scale insulin order set have orders to implement the hospital’s hypoglycemia orders. However, some patients have orders for scheduled or PRN insulin without use of the sliding scale insulin order set. These patients may not have PRN orders for treatment of hypoglycemia.
To improve safety with insulin use, the following policy has been approved by the P&T Committee:
Reviewed: April 25, 2006
Updated: November 2020 (Levemir)