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nagar nagar (New Member) New Member

What would you do

Emergency   (547 Views 10 Comments)
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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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Are you asking about reporting this, or you actually don't know what kind of nursing care you would provide?

 

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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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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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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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