• Two RNs independently verify type & dose prior to administration. • Administered via IV pump; Not to be given by IV push for any indication
2023 American Geriatrics Society Beers Criteria® for potentially inappropriate medication use in older adults.
Medication:
insulin human in Normal Saline (Myxredlin)
Criteria 1: Potentially inappropriate medication use in older adults. (Table 2)
Drug(s)
insulin, sliding scale (insulin regimens containing only short- or rapid-acting insulin dosed according to current blood glucose levels without concurrent use of basal or long-acting insulin)
Rationale
Higher risk of hypoglycemia without improvement in hyperglycemia management regardless of care setting. Avoid insulin regimens that include only short- or rapid-acting insulin dosed according to current blood glucose levels without concurrent use of basal or long-acting insulin. This recommendation does not apply to regimens that contain basal insulin or long-acting insulin.
Recommendation
Avoid
Quality of evidence: Moderate, Strength of Recommendation: Strong
Refrigerator item
• Administered via IV pump; Not to be given by IV push for any indication