Insulin Infusions Part 1

Insulin Infusions Part 1

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  • General message about Insulin Infusion Set Up 
  • Get the appropriate delivery device. Maybe add a glimpse of possible options at different wards.?
  • STEP 1: Prepare insulin/saline infusion Current text: 50mL N/Saline + 50units of insulin = Final concentration of 1 unit of insulin per 1 mL of solution *Ensure you prime the line AFTER the insulin has been added
  • STEP 2: Give IV bolus dose of insulin as ordered by Medical Officer Show both variants: Instructions given in EMR, as well as in the paper drug chart *Reference Objectify?
  • STEP 3: Test and record blood glucose levels HOURLY until stable for three hours then 2-HOURLY (follow instructions on Insulin Infusion Order Form) Target: 6- 11.9 mmol/L Target for HHS/HONK patients: 12-20 mmol/L 
  • Perhaps include inpatient settings photos?
  • STEP 4: Document changes in infusion rate in response to glucose levels and double sign.
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