DEFINITION
INTRAVENOUS INSULIN ADMINISTRATION
utilization, protein synthesis, formation and storage of natural lipids.
PURPOSE
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