INSULIN DRIPSRegister Today!
- by mombuxx Feb 25I'm sort of taking a survey! Can anyone tell me what department (ICU, SDU, Med/Surg) you handle your insulin drips, and what is your patient ratio in that department? Also, any other related comments would be helpful! Thanks!!
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- Feb 25 by kelly sweeneySlidding scale
- Feb 25 by limaRNICU, up to 2 pts. We do hourly blood sugars on insulin gtts sometimes as often as every 1/2 hr if they're low. I do believe that our step down unit takes them as well.
- Feb 25 by Kara RN BSNAny unit (except the rehab floor) and depends on the unit ratio... 2:1 for ICU, 3-4:1 for ICU step down...varies for medsurg floors
- Feb 25 by turnforthenurseRNICU, 2 patients, rarely 3 if they are short staffed. Blood sugars are done Q30min-Q1H. We *have* had patients on insulin drips come to my floor (PCU) with a max of 4 patients, with blood sugars still Q30min-Q1H but that is very rare.
- Feb 25 by Jackie-RNICU - like the others, blood sugars Q1hr at a min.
- Feb 25 by Sun0408For gtts, I have only seen them in the ICU where the ratio is 2:1 unless the pt is really unstable. We have had to check q15min up to q1h.
- Feb 27 by ParvulusPuellaProgressive Care Unit, 1:4, q1h capsticks per insulin gtt protocol
- Mar 8 by Lesley CookI cover med/surg, paeds,mid, onc, and ED. I have monitored patients on insulin infusions on most of these wards except paeds and onc. Normally we monitor patients hrly, and have a patient load of at least 4.
- Mar 8 by DeLanaHarvickWannabeI am medsurg and we can have insulin drips for up to eight hours but cannot titrate. This means hourly accuchecks and calling the doctor to change the rate. Our ratio is 1:5-6. This happens rarely for us because admitted true DKAs go to the ICU and rarely does an admitted patient develop DKA before having other issues that would warrant transfer to a higher level of care.