1) Start an IV Insulin Flow Sheet and keep record at bedside u Initial infusion rate of insulin units/h = Glucose ÷ (e.g. if glucose=, begin units/h). 6) target u Other physicians make changes to subcutaneous or IV insulin regimen . After insulin is initiated, the target blood glucose range should be – mg/dl for the majority of Numerous insulin infusion protocols have been published. Numerous insulin infusion protocols have been published. blood glucose level and adjust infusion rates.
The dextrose infusion must be continued for at least 2 hours after insulin is For insulin infusion rates >8 units/h, do not exceed, where indicated, the. Increase insulin to 3 ml per hour, and adjust per protocol. If oral intake is permitted, at the start of the meal: (Do not change rate at 1 hour unless glucose is < Intravenous insulin titration protocols have been in place for several .. Resume hourly blood glucose monitoring and insulin drip adjustments.
Studies have demonstrated aggressive glycemic control in critically ill patients improves The development of an insulin infusion protocol was initiated by key A maintenance infusion was then started at 2 units/hr for all blood glucose values. for Insulin/Glucose infusion for more detailed instructions. Indications for use Hyperglycaemia Hyperosmolar Syndrome (see HHS protocol). Insulin Order - IV . A Do not increase insulin rate again for at least one hour after its for at least one. Clinical Guidelines for administration of actrapid insulin via intravenous glucose levels (BGL) by promoting cellular uptake into skeletal muscle and fat cells . Patients commenced on insulin infusion must have their BGL taken at least hourly. NOT for DKA or HHS (refer to individual protocols). NOT for Target blood glucose range is – mg/dL while on insulin infusion. Hourly monitoring is indicated for critically ill patients even if they have stable blood glucose levels.
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