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Discussion

Help!! Insulin

Hello Guys,

I'm having a hard time finding the answer to this question?

How soon after you give 5 units I.V. insulin STAT when should you recheck the blood sugar?

Thanks,

Featured Replies

hi,sorry i can't help you from the nurse's point of view but when i was in the icu last year and recieving an insulin drip they checkedmy sugar q 30 min.at first then q hr. hope that helps until someone knowledgeable replies.:)

  • Author

i was thinking 15-30 min.

thanks

hi,sorry i can't help you from the nurse's point of view but when i was in the icu last year and recieving an insulin drip they checkedmy sugar q 30 min.at first then q hr. hope that helps until someone knowledgeable replies.:)
I was thinking 15-30 min.

Thanks

YOU ARE PROABLY RIGHT. I WAS THINKING IT STARTED Q 15 MIN. THEN UP TO Q 30 MIN.. OFCOURSE I WAS PRETTY OUT OF IT FROM PURE EXHAUSTION.

One way to figure this out is to look at the insulin you are giving.

What is the duration of time from giving it until onset and peak? And what is the duration of the inslin.

Once you figure that out, you should be able to formulate a plan for checking glucose leverls that are correct for the insulin.

bob

  • Guides
One way to figure this out is to look at the insulin you are giving.

What is the duration of time from giving it until onset and peak? And what is the duration of the inslin.

Once you figure that out, you should be able to formulate a plan for checking glucose leverls that are correct for the insulin.

bob

When giving Insulin IV you should only be giving regular insulin. In the ICU when we give insulin IV we check it every hour. 5 units is not that much so depending on what the glucose was to start with I would wait 30min to 1 hr depending on what else is going on with pt. You probably won't see a significant response from the insulin for atleast 30 minutes.

Hope that helps.

  • Admin

Obviously, this amount is not for a sky-high blood sugar. 30 minutes is fine. During treatment for hyperkalemia (if using insulin and glucose) much more will be administered and checks should be 10 - 15 minutes or as ordered.

Guest
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