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Skills in diesem Repository
SkillsMP hat 858 Skills aus dromlakhani/MD2SKILL gesammelt. Öffne einen Skill, um Quelle und Details zu prüfen.
dromlakhani/MD2SKILLEs werden 40 von 858 gesammelten Skills angezeigt.
Recommends reviewing serum testosterone levels every 6 months during ongoing therapy to monitor for excessive use and signs of androgen excess such as hirsutism or acne. It is indicated when a clinician manages a woman receiving long-term testosterone therapy…
Quellsprache: Englisch
Recommends checking baseline testosterone level and using an approved non-oral preparation (such as transdermal patch, gel, or cream) when initiating a testosterone trial for hypoactive sexual desire disorder (HSDD) in women. Triggered when a clinician plans…
Quellsprache: Englisch
Recommends that medical therapy for acromegaly be withheld during pregnancy and administered only for tumor control and headache relief. Consider when managing a pregnant patient with acromegaly who presents with tumor growth or worsening headache.
Quellsprache: Englisch
Recommends basal insulin as the first‑line insulin regimen for obese patients with type 2 diabetes who require insulin, preferring it over insulin alone or insulin combined with a sulfonylurea to limit weight gain. Clinical triggers include questions such as…
Quellsprache: Englisch
In obese patients with type 2 diabetes mellitus requiring insulin, a preferential trial of basal insulin is recommended before initiating premixed or combination insulin therapy. Consider this approach when clinicians ask, 'Should I try basal insulin alone…
Quellsprache: Englisch
In hospitalized adults initially managed with correctional insulin alone, persistent hyperglycemia is defined as two or more point-of-care blood glucose measurements ≥180 mg/dL within a 24‑hour period. When this pattern occurs, clinicians should consider…
Quellsprache: Englisch
For hospitalized adults with persistent hyperglycemia defined as ≥2 point-of-care blood glucose measurements ≥180 mg/dL in 24 hours while on correctional insulin alone, the guideline suggests adding scheduled insulin therapy. Trigger phrases include "Patient…
Quellsprache: Englisch
Consider reducing basal insulin dose by 10% to 20% at hospitalization for patients on basal heavy insulin regimens (≥0.6–1.0 units/kg/day) to prevent over‑coverage of meal‑related glucose excursions. Trigger phrases include “Patient on high basal insulin…
Quellsprache: Englisch
In hospitals where expertise, resources, and training are available, implement carbohydrate counting or fixed prandial insulin dosing for prandial insulin therapy. Trigger phrase: “We have the expertise and resources, which prandial dosing method should we…
Quellsprache: Englisch
For adult patients with type 1 diabetes or insulin-treated type 2 diabetes hospitalized for noncritical illness who require prandial insulin, suggest either carbohydrate counting or fixed prandial insulin dosing. Triggered by clinician queries such as…
Quellsprache: Englisch
This skill determines whether a patient performs carbohydrate counting in the outpatient setting, including insulin-treated type 2 diabetes, and may prefer to continue this method during hospitalization. Clinical triggers include questions such as "Patient…
Quellsprache: Englisch
This skill ensures the hospital has a policy to guide carbohydrate counting for prandial insulin dosing and confirms availability of healthcare professionals knowledgeable in diabetes management. It is triggered when clinicians ask, "Do we have a hospital…
Quellsprache: Englisch
Recommend continuation of the pre‑admission scheduled insulin regimen, adjusted for nutritional status and severity of illness, to keep glucose between 100‑180 mg/dL in hospitalized adults with insulin‑treated diabetes. Triggered by clinician questions such…
Quellsprache: Englisch
Verify that a diabetes care and education specialist (DCES) involved in inpatient diabetes education holds Certified Diabetes Care and Education Specialist (CDE) or Board Certified-Advanced Diabetes Management (BC-ADM) credentials, or is actively working…
Quellsprache: Englisch
When diabetes care and education specialist (DCES) availability is limited, availability is limited, the DCES serves as a resource to train healthcare providers (e.g., staff nurses, pharmacists, dietitians) to deliver inpatient diabetes education. Trigger…
Quellsprache: Englisch
This skill outlines the core components to include in comprehensive diabetes discharge planning for hospitalized adults. It is triggered by questions such as "What should be included in diabetes discharge planning?" and ensures education on survival skills,…
Quellsprache: Englisch
Discuss cost and overall acceptability of a DPP4 inhibitor with the patient when there are plans to continue the medication after hospital discharge. Trigger phrases include: "Patient wants to continue DPP4i after discharge, should we discuss cost and…
Quellsprache: Englisch
This skill determines whether a hospitalized adult with type 2 diabetes is eligible for DPP4i initiation based on recent HbA1c <7.5%, blood glucose <180 mg/dL, and, if insulin‑treated pre‑admission, a total daily insulin dose <0.6 units/kg/day. It is…
Quellsprache: Englisch
Determines whether DPP4i therapy is appropriate for hospitalized adults with hyperglycemia. Excludes patients with type 1 diabetes or other insulin-dependent diabetes; triggers include “Patient has T1D, is DPP4i appropriate?” and “Should a DPP4i be started in…
Quellsprache: Englisch
For select adult patients with mild hyperglycemia and type 2 diabetes, the guideline suggests using either a DPP4 inhibitor with correction insulin or scheduled insulin therapy. Trigger phrase: "Patient has mild hyperglycemia and T2D, could we use a DPP4i?"
Quellsprache: Englisch
When inpatient diabetes education staff are limited, prioritize education for patients at high risk for readmission, admitted for diabetes-related hyperglycemia, or newly diagnosed/starting insulin. Use this skill when clinicians ask, "Which patients should…
Quellsprache: Englisch
Recommends implementing EHR-leveraged glycemic surveillance and management programs for hospitalized patients at risk for hypoglycemia to reduce hypoglycemic episodes. Triggered when clinicians ask, "Should I implement EHR-based glycemic surveillance for this…
Quellsprache: Englisch
Select either neutral protamine Hagedorn (NPH)-based or basal bolus insulin regimens for glycemic management in hospitalized patients receiving enteral nutrition with diabetes-specific or nonspecific formulations. Triggered when clinicians ask, "Patient on…
Quellsprache: Englisch
In patients already on a basal bolus insulin (BBI) regimen who develop hyperglycemia while receiving glucocorticoids, consider adding neutral protamine Hagedorn (NPH) insulin to the regimen. Trigger phrases include: "Patient is on BBI, should we add NPH for…
Quellsprache: Englisch
This skill ensures ongoing blood glucose monitoring with adjustment of insulin dosing to manage glucocorticoid-associated hyperglycemia and prevent hypoglycemia during taper or discontinuation. It is triggered when clinicians ask, "Do we need to adjust…
Quellsprache: Englisch
This skill guides clinicians to apply safeguards—including frequent point-of-care glucose monitoring and insulin dose adjustments—to prevent hypoglycemia when tapering or discontinuing glucocorticoids in hospitalized patients. Use when encountering triggers…
Quellsprache: Englisch
Select either NPH-based insulin regimen or basal bolus insulin regimen for glycemic management in patients receiving glucocorticoids. Triggered by clinician questions such as "Which insulin regimen should we use for steroid-induced hyperglycemia?"
Quellsprache: Englisch
Calculates NPH insulin dosing (divided doses) according to the timing, pharmacokinetics, and frequency of the specific glucocorticoid being administered. Triggered by clinician questions such as "How should we dose NPH insulin given the glucocorticoid…
Quellsprache: Englisch
Assesses whether a hospitalized insulin-treated patient is at high risk for hypoglycemia using age, BMI, insulin dose, comorbidities, and hypoglycemia history. Triggered by clinician questions such as "Should we consider CGM for this patient?" or "Is this…
Quellsprache: Englisch
Classifies hypoglycemia severity into Levels 1-3 using glucose thresholds and clinical assessment per Table 2 of the Endocrine Society guideline. Triggered by clinician questions such as "What is the severity of this patient's hypoglycemia?" or "How should I…
Quellsprache: Englisch
Adjusts the insulin-to-carbohydrate ratio (ICR) for hospitalized patients with diabetes when illness or treatments alter insulin requirements. Triggered by clinician statements such as "Patient's insulin needs changed due to infection, should we adjust the…
Quellsprache: Englisch
In adults with no prior diabetes hospitalized for noncritical illness and hyperglycemia >140 mg/dL, initiate correctional insulin rather than scheduled insulin to maintain glucose 100-180 mg/dL. Trigger phrase: "New hyperglycemia >140, start with correctional…
Quellsprache: Englisch
In adults with diabetes treated with diet or noninsulin medications before admission, suggest initial therapy with correctional insulin or scheduled insulin to maintain glucose targets of 100–180 mg/dL. Trigger phrase: "Patient on diet or noninsulin meds…
Quellsprache: Englisch
Suggest initiation of scheduled insulin therapy for patients with confirmed admission blood glucose ≥180 mg/dL (≥10.0 mmol/L). Triggered by clinician language such as “Admission BG confirmed ≥180, should we start scheduled insulin?”
Quellsprache: Englisch
Provides inpatient diabetes education integrated into discharge planning for adults with diabetes hospitalized for noncritical illness. Triggered by the question: "Should we provide diabetes education before discharge?"
Quellsprache: Englisch
Suggests long-acting insulin analogs over human NPH insulin for basal insulin therapy in adult and pediatric outpatients at high risk for hypoglycemia. Trigger phrases include “Should I use long-acting analogs or NPH for basal insulin in this high‑risk…
Quellsprache: Englisch
In adult patients with noninsulin-treated type 2 diabetes hospitalized for noncritical illness who require prandial insulin therapy, the guideline suggests avoiding carbohydrate counting for prandial insulin dosing. Consider this approach when clinicians ask,…
Quellsprache: Englisch
Do not administer carbohydrate-containing oral fluids preoperatively to adult patients with diabetes undergoing planned elective surgical procedures. Triggered when clinicians ask, "Should we give this patient a carbohydrate drink before surgery?"
Quellsprache: Englisch
Recommends non-reconstituted glucagon preparations over reconstituted ones for treating outpatients with severe hypoglycemia. Triggered by questions such as "Should I use non-reconstituted or reconstituted glucagon for this patient with severe hypoglycemia?"…
Quellsprache: Englisch
Assesses outpatient diabetes patients for high hypoglycemia risk using Table 1 criteria including medications, organ function, age, and history. Triggered by questions such as "Is this outpatient diabetic patient at high risk for hypoglycemia?" or "Should I…
Quellsprache: Englisch