Can someone PLEEEEASE explain INSULIN DRIPS? - page 3

I'm about halfway through my first year in the ICU at a community hospital and have had a few patients on insulin drips for various reasons over the past couple of weeks. As a new grad, I'm always trying to learn, and always... Read More

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    cliff notes version: D5 or food with the insulin help your body get rid of the ketones.

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    Quote from mindlor
    Another fairly common reason for placing a pt on an insulin drip is the temporary reduction of high serum potassium. Insulin will drive the K+ back into the cells.This is temporary as the only ways that I know of to permanently rid the body of excess K+ is kayexalate and/or dialysis.......
    We use an insulin and D50 drip in an emergency to drive theK+ back down, if its not an emergency we use kayexelate we give it orally or down an ng tube, we also give an ena
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    Sorry, the rest of what I was saying we also give enemas of kayexelate, in an emergency when the K++ is way too high we also give boluses and drips of calcium gluconate, and lidocaine as they lower K++ also, as far as giving the dka pt lantus they don't need it I know its a long acting insulin, but even though the drip is short acting regular insulin it is still going to work as long acting because they always have the drip going, As far as our dka's eating, well they don't, they are npo in the unit, unless the doc orders something else, if they don't get an order to eat in the unit, that means the doc wants them to wait until they stabilize, have the drip switched to sub-q insulin and moved to med-surg or step down, thats when they can eat, and we always leave 2 amps of D50W by the bedside, we also leave some
    Last edit by rgroyer1RNBSN on Apr 28, '12 : Reason: spelling
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    We also leave some bicarb at the bedside, and as far as calculating the insulin drip, our docs our ignorant as well they'll just come in and throw orders for a drip, then he will tell us to figure out the dose based on the pts weight, because he does'nt "Have the time". And like when do us nurses have he time, moron.Rod RN, BSN, CEN, CCRN, CFRN, TNCC, CRNI, ACLS, PALS, Med/Surg cert, ed/sicu nurse manager, current med student.I just love having the whole alphabet behind my name, lol.
    Last edit by rgroyer1RNBSN on Apr 28, '12 : Reason: grammer

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