Intravenous regular insulin

Specialties Emergency

Published

HI. JUST WANNA ASK BOUT REGULAR INSULIN IV ADMINISTRATION.. Is it okay if i inject it through peripheral venous access? and how fast should it go? thanks...

MatthewRN

51 Posts

Specializes in CCU, ED.

It's fine to run it through a peripheral. As for how fast it should go, that's up to the doc's order. We almost always have standard order set for our patient's on insulin gtt's that maps out what dose they need per hour based on glucose values and trends.

Specializes in ED, ICU, Heme/Onc.

Dont forget to do (and document) your q1h accuchecks!

Specializes in ER; HBOT- lots others.

You need to follow your hospital policy as well as your orders. we have orders as Matthew mentioned that we adjust by the BG readings every hour. and yes, it can go thru a regular PIV.

-H-RN

Larry77, RN

1,158 Posts

Specializes in Trauma/ED.

We frequently give IV Regular Insulin with IV Dextrose for pt's with hyperkalemia...I just give it as a "normal" rate...not fast, not slow. Usually if the pt is DKA we use a gtt...starting somewhere between 5 and 8 units/hr...

Specializes in Emergency/Trauma/Critical Care Nursing.

if they're blood sugar is at least above 250 but they aren't DKA, we use subQ, if they're DKA they get an initial bolus ivp through the piv and then an insulin drip, and if they are hyperkalemic they get an insulin bolus ivp and an amp D50 along with some of the oh so lovely kayexalate lol. im not sure if that answers your question or not, but if its regular insulin coverage for a non-Dka pt they receive subq, we don't just interchange subq and ivp in that instance

*ac*

514 Posts

I have a funny feeling the OP is asking if subq and IV are interchangeable, and of course they are not. If the order says SC, it must be given subcutaneously.

Specializes in Emergency/Trauma/Critical Care Nursing.
I have a funny feeling the OP is asking if subq and IV are interchangeable, and of course they are not. If the order says SC, it must be given subcutaneously.

lol i agree :up:

Jennifer, RN

226 Posts

Specializes in ER, telemetry.

Regular insulin can be given IVP. I usually give a single dose over 1 minute. Where I work, we often give Regular Insulin IV to bring high blood sugars down quickly. If, as other posters have suggested, you are talking about giving SC insulin IV instead, then no, they are not interchangable routes.

merit119

18 Posts

Specializes in Oncology/BMT/Hematology/medsurg.

can someone specify exactly how you give R insulin bolus through PIV? You just insert a insulin needle to the peripheral IV access and push it over 2 minutes and then do a very slow NS flush?

Virgo_RN, BSN, RN

3,543 Posts

Specializes in Cardiac Telemetry, ED.

What does your drug guide say?

merit119

18 Posts

Specializes in Oncology/BMT/Hematology/medsurg.

my Davis drug guide on my PDA does not say anything about how to administer bolus.

+ Add a Comment

By using the site, you agree with our Policies. X