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Discussion

What would you do

A patient on insulin infusion 50 units to be infused over 10 hrs...received the entire amount in 30 minutes. you witnessed the incident ....what would u do

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    • Featured Replies

    Are you asking about reporting this, or you actually don't know what kind of nursing care you would provide?

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    Homework?

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    • Experts

    Since insulin is lighter than water I'd place the patient in the Trendelenberg position so the insulin will rise to the patient's feet and thus be absorbed over a longer period of time...?

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    You have to put honey soaked dressings on their feet to prevent skin breakdown. Lack of sugar can cause necrosis...we see it in a ton of diabetics here.

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    It depends: is it closer to the start of my shift, or toward the end?

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    Something similar happened on Nurse Jackie on the last (?) season.

    And, as far as I am aware, insulin drips are a double RN check where you can't bypass the sign off in the flow sheets like you can with pressors. Granted, I guess this all depends on facility policy. In any case, it's a med error and likely to be reported which would result in either suspension or termination. Hopefully the hospital is unionized and not a right to fire facility.

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    • Guides

    Who orders insulin 50 units to be infused in 10 hours? no titration whatsoever based on glucose levels? it's on you if you even follow that order.

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    Get a fs bg and go from there.

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    • Moderator

    Omg, some of the replies have me LMAO! ?

    OP, I would ensure patient safety first. It's always a legit starting point.

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    On ‎2‎/‎11‎/‎2019 at 2:08 AM, canoehead said:

    You have to put honey soaked dressings on their feet to prevent skin breakdown. Lack of sugar can cause necrosis...we see it in a ton of diabetics here.

    More important, the topical absorption of the glucose in the honey should mitigate the effects of the insulin.

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