Hyperglycemia Workup for New Nurse Practitioners

How do you know if someone with a glucose of 500 needs to go to the ER or can be managed outpatient?

Continuing on the lab interpretation series, today’s video is all about knowing what to do, when to do it and resting at night knowing you haven’t missed anything.

It’s much simpler than hyponatremia (phew!) and I’ll bring you through the checklist you need to manage patients like this.

Using a case study format, you’ll learn:

  • How to know when your patients needs to go to the ER, and when you can work them up outpatient
  • The worst case scenarios for high blood sugar
  • The two step process that’ll keep you grounded (it’s easy to remember)

Skip ahead George’s back story at timestamp 3:44. Be sure to check out the previous two videos about George (again, not his real name!), here and here.

Once you’ve watched, I’d love to hear from you.

What’s your top takeaway about hyperglycemia that you can bring to your practice?

Leave me a comment below. Be sure to share your thought directly in the comments, no links or videos as they may be removed.

Thanks so much for watching. Hang in there, and I’ll see you soon.

Liz

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6 thoughts on “Hyperglycemia Workup for New Nurse Practitioners”

  1. Hi Liz,

    Yes, piggybacking on the previous comment. I would love one on diabetes management, specifically for insulin initiation/continuous treatment.

    Thank you- your videos are SO helpful!

    1. YES! These are HUGE topics, I will definitely be talking diabetes quite soon 🙂 Kim Ellis NP also has a YT channel for diabetes topics that may be helpful! <3

  2. Hello Liz- video was great. Can you please educate us on how to decide initiating and titrating NPH dose?
    Also, when you say sliding scale, what do you mean? I thought sliding scale coverage for meals was no longer recommended.

    1. Thanks! Ohhh NPH is the million dollar question! I’m NOT a fan of this med, but insurance seems to love it. I’ll have to put something together. Most prandial starts at 5 units for each meal and is titrated from there, was more referring to that instead of the traditional sliding scale of if your blood sugar is X give X amount of insulin. I personally don’t do that kind of sliding scale, and even prandial makes me uncomfortable, so if they’re still not controlled with initiating prandial (if it gets to that), I’m usually looping in endocrine at that point.

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