Insulin drips

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Insulin drips

  1. 1. Insulin DripsDiabetic Ketoacidosis is a severe insulin deficiency that leadsthe body fat to obtain glucoseWithout insulin, fluids and electrolyte replacement, patientsare at risk for life-threatening complications, including CNSdepression and comaThe patient with DKA may have a number of manifestationsThe definitive diagnosis of DKA consists of:• Hyperglycemia (> 250 mg/dl)• Low serum bicarbonate (< 15 meg/L)• Low pH (< 7.3) with ketonemia & moderate ketouria
  2. 2. Insulin Drips (continued)Stable medical patients are monitored on a clinically appropriatenursing unitStable pediatric patients are monitored on 3 SouthUnstable patients are monitored in CCUPhysician’s responsibilities include:  Decides if patient is stable enough to be monitored on the floor or if they will be monitored in CCU  Writes specific orders for the Insulin Drip
  3. 3. Insulin Drips (continued)Licensed Practical Nurse responsibilities include:• Monitor Blood Glucose as assigned by RN• Notify RN of blood glucose resultsRegistered Nurse responsibilities include:• Clarify orders PRN• Initiates Insulin Drip (verified by 2 RN’s)• Monitor blood glucose as ordered and PRN• Titrate Insulin Drip as ordered• Hang new Insulin Drip bags PRN
  4. 4. Insulin Drips (continued) Place Insulin Drip on IV pump as primary IV and use drug list to increase patient safety If the patient has another IV order, these need to be placed on separate pumps Insulin Infusions and pumps are clearly labeled Only Regular Insulin may be used for IV infusions

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