What would you do

[nagar]

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

[JKL33]

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

[PeakRN]

Homework?

[OldDude]

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...?

[canoehead, BSN, RN]

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.

[Guest374845]

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

[Kuriin, BSN, RN]

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.

[Corey Narry, MSN, RN, NP]

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.

[offlabel]

Get a fs bg and go from there.

[Lunah, MSN, RN]

Omg, some of the replies have me LMAO! ?

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

[Guest219794]

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.