Insulin gtt rates

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  1. by Feb 23
    What is the highest rate for an insulin gtt that you have come across?
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    http://allnurses.com/showthread.php?t=817519

    by *LadyNurse* Feb 23 8:50 am
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  3. 14 Comments so far...

  4. Feb 23 by
    It was between 60-70ml/hr or unit/hour. Guy it pancreatitis.
  5. Feb 23 by
    Was that 60-70 Units/hour? That's some sugar minimizing madness!

    ...Whoops, I re-read that it was units/hour. Crazy.
    Last edit by Mully on Feb 23 : Reason: I'm blind.
  6. Feb 23 by
    Wow...

    The highest that I've seen was 49 units/hour.
  7. Feb 25 by
    Quote from *LadyNurse*
    What is the highest rate for an insulin gtt that you have come across?
    I once had to bolus in 37 units, then run the infusion at 30 units/hr.
  8. Feb 25 by
    100 u/hr.
  9. Feb 25 by
    20 units/hr.... U guys must have had some insane potassium shifts....
  10. Feb 25 by
    Everything at my current ICU is insane!
    Mully likes this.
  11. Feb 25 by
    75 units and hour. I think that was the most before he died. No matter the amount he was on, his blood sugars kept going up.. I think his last BS was in the 600 range.
  12. Feb 27 by
    This is no lie...We had one pt in the unit who was super sick. I don't know exactly what was happening but he was an MVA, open belly (left open), DI, cerebral edema, IV paralytics, and a million other things. The gtt was mixed in 1000ml NS with 1000 unit of insulin and the bedside RN was infusing it at like 500-750/hr. The pt BG was still in the 500's. The pharmacist was tubing bag after bag. Some type of insulin resistance with crazy blood sugars and just really sick. No lie..it was like 500-750 units/hr per the Glucostabilzer. And no, the RN wasn't pulling the sample from line with D5 or TPN. He just went up and up and up. Crazy. It went on for about 36 hr and then things kind of calmed down. Other than that, highest gtt I've seen is in the 20-30's.