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What would you do

Emergency   (836 Views 11 Comments)
by nagar nagar (New Member) New Member

853 Visitors; 4 Posts

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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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1,124 Likes; 7 Followers; 21,290 Visitors; 2,691 Posts

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

 

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74 Likes; 4,821 Visitors; 370 Posts

Homework?

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OldDude works as a School Nurse.

930 Likes; 5 Followers; 1 Article; 27,729 Visitors; 4,559 Posts

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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canoehead has 30 years experience as a BSN, RN and works as a RN ER.

68 Likes; 2 Followers; 48,194 Visitors; 6,549 Posts

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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2 Likes; 3,701 Visitors; 207 Posts

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

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Kuriin has 2 years experience.

8,411 Visitors; 965 Posts

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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juan de la cruz has 27 years experience as a MSN, RN, NP and works as a Adult Critical Care Nurse Practitioner.

524 Likes; 3 Followers; 8 Articles; 57,371 Visitors; 3,744 Posts

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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95 Likes; 1 Follower; 11,565 Visitors; 1,244 Posts

Get a fs bg and go from there. 

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Pixie.RN has 18 years experience as a MSN, RN, EMT-P and works as a Infection Preventionist/Nurse Epidemiologist.

256 Likes; 7 Followers; 32 Articles; 125,646 Visitors; 12,819 Posts

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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114 Likes; 16,508 Visitors; 1,489 Posts

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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