tag:blogger.com,1999:blog-4230162007222918868.post4085251267157589380..comments2023-09-19T05:50:03.130-04:00Comments on Renal Fellow Network: More insulin!Gearoid McMahonhttp://www.blogger.com/profile/08049723797363526138noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-4230162007222918868.post-9917172741294861742011-01-02T12:48:44.538-05:002011-01-02T12:48:44.538-05:00As a peritoneal dialysis nurse, I live in fear of ...As a peritoneal dialysis nurse, I live in fear of the glucose/icodextrin problem occurring in one of my patients. We ask patients to wear Medic Alert jewelry to guard against this; they often do not. We ask them to carry cards indicating this medical treatment; it may not be found by ER staff. The easiest solution would be for all glucose test strips to be of the correct type-- how ridiculous this is not the case as there are increasing numbers of other drugs that create the same problem in critical situations. The problem can also be resolved if ERs would contact nephrologists or dialysis units immediately to get good information when our patients present--they rarely, if ever, do; in this and other situations, such lack of communication jeapordizes our patients' treatment.Susan Pfettscher, DNSc,RNnoreply@blogger.com