Categories: Drugs

INTRAVENOUS INSULIN PROTOCOL

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INTRAVENOUS INSULIN PROTOCOL

Here we explain the protocol of intravenous insulin, and the protocol regarding this is followingly

  1. IV(Intravenous Insulin Protocol)
  2. Regular insulin (Human at rapid/Insulin/Humalog) 50 units to be dissolved in 50 ml of NS(Normal Saline).
  3. For diabetic patients add 5unit of Human at rapid, in DNS(Dextrose Normal Saline)solution and 10unit Human at rapid in 5℅dextrose solution.
  4. If presented the first time in ICU/Emergency, take a baseline capillary blood glucose (CBG) and insulin infusion to be started as per protocol.
  5. If presented from OT/ward -take the direction from primary consultant, Anesthetist and insulin infusion.
  6. Take CBG hourly after starting the infusion.
  7. The principle is to keep blood glucose level between (130-180) [as per guideline [140-180].
  8. Check every two hourly if two consecutive CBG regarding<120mg and >80mg.
  9. Check again every hourly if 2 consecutive regarding, >200mg.
  10. Inform on-call doctor if CBG <80mg and >400mg.

Check CBG every hourly whatever may be the blood glucose level in the following conditions:-

  • severe sepsis/septic shock
  • patient on Vasopressor support
  • first postoperative day
  • H/O recurrent Hypoglycemia
  • on hemodialysis
  • Acute MI in 48 hours
  • universal safety precaution and hand hygiene protocol to be followed every time to be giving insulin

READ ALSO

INTRAVENOUS INSULIN PROTOCOL TABLE

[table id=8 /]

MANOJ KUMAR RANA

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