INTRAVENOUS INSULIN ADMINISTRATION USING SYRINGE PUMP
How should I take my medication?
February 9, 2018FREE DOWNLOAD: BLOOD SUGAR ANALYSIS CHART
February 9, 2018
DEFINITION
- Insulin – is a hormone secreted by the pancreas that promotes glucose
INTRAVENOUS INSULIN ADMINISTRATION
utilization, protein synthesis, formation and storage of natural lipids.
- Continuous IV Infusion – is a method of administering IV medication to a patient at a constant rate through a syringe pump to maintain a stable level of the medication in the blood.
PURPOSE
- To standardize methods of intravenous insulin administration.
- To provide guidelines for monitoring patients receiving insulin infusion.
- To reduce the occurrence of possible complications.
INTRAVENOUS INSULIN ADMINISTRATION
PROCEDURES & RESPONSIBILITY
- Continuous insulin IV infusion shall have a written physician order, as well as a separate specific order for each rate, changed based on capillary blood sugar results.
- Regular insulin is the only insulin that can be given through IV.
- A patient who is on continuous IV insulin infusion should be kept under close observation.
- An infusion pump should be used for IV insulin infusion.
- Insulin infusion should be a separate IV site whenever possible.
| Procedures | Responsible Person/s |
| Write the order for the administration of insulin infusion and clearly document the specific order for each rate change based on the result of the capillary blood glucose. | Physician |
| Document all the pertinent information in a timely manner in the medical record. | Physician |
| Prepare the IV insulin infusion using the following solution:
50 ml Normal Saline containing 50 units Regular Insulin (1 unit/ml). |
Registered Nurse |
| Baseline blood sugar by finger stick should be checked before starting an insulin infusion. | Registered Nurse |
| A copy of physician order should be sent to the pharmacy (Unit Dose System). | Registered Nurse
Pharmacy |
| Initiate and regulate the IV insulin infusion according to the doctors’ order. | Registered Nurse |
| Document IV site condition, infusion setting and patient level of consciousness at the beginning of infusion and any additional information in the nurse’s notes. | Registered Nurse |
| A patient on continuous IV infusion shall have a capillary blood glucose monitoring every 1-2 hourly, and if it remains stable may decrease to 4 hourly. | Registered Nurse |
| Monitor the patient every 2 hours or as ordered by the doctor for the
following: · Level of consciousness · Signs and Symptoms of Hypoglycemia · Other pertinent parameters |
Registered Nurse |
| Use professional judgment and ongoing assessment when caring for a patient who is on IV insulin infusion. | Registered Nurse |
| Notify the attending physician of any changes in the patients’ status. | Registered Nurse
Physician |
| Check the urine ketones if blood glucose is 250 mg/dl and above. Notify the physician for positive ketone bodies. | Registered Nurse |
| Discontinue the infusion as ordered by the treating physician. | Registered Nurse
Physician |
| Check capillary blood glucose 30 minutes after discontinuing the infusion, then repeat every 6 hourly or as may be ordered by the physician, and if any change (deterioration) in the level of consciousness. | Registered Nurse
Physician |
ATTACHMENTS:
[embeddoc url=”http://obaid.info/wp-content/uploads/2018/02/BLOOD-SUGAR-ANALYSIS-CHART.docx” download=”all” viewer=”microsoft”]
REFERENCE
- CBAHI 3rd Edition Standards
- JCIA 5th Edition Standards
