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What Kind Of Insulin Can Be Given Iv

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Intravenous Insulin Therapy

Overview Patients with hyperglycemia in the ICU have increased morbidity and mortality. Hyperglycemia is associated with immune dysfunction, increased systemic inflammation, and vascular insufficiency. Elevated blood glucose levels have been shown to worsen outcomes in medical patients who are in the ICU for more than 3 days. Hyperglycemia may result from stress, infection, steroid therapy, decreased physical activity, discontinuation of outpatient regimens, and nutrition. [1] Improved control of hyperglycemia improves patient outcomes, but clinical confirmation of this thesis has proven elusive. Significant interest was generated by initial single-center results that have not been replicated in multisite studies. In 2001, a randomized controlled study in a surgical ICU demonstrated a decrease in mortality from 8% to 4.6% in patients with intensive continuous intravenous insulin therapy. [2] The author repeated the protocol in a study of 1200 patients in a medical ICU. [3] The conventional treatment group was treated to maintain a blood glucose level between 180-200 mg/dL, whereas the intensive treatment group was treated to maintain a blood glucose level between 80-110 mg/dL. Mort Continue reading >>

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Popular Questions

  1. cinnyb1018

    0 Hi,
    New here, LPN of 29 years and about to finish a 4 year BSN program. Work in a level 1 trauma ER.
    My question is why is regular insulin the only insulin that is given IV?

  2. chip193

    Quote from cinnyb1018
    Hi,
    New here, LPN of 29 years and about to finish a 4 year BSN program. Work in a level 1 trauma ER.
    My question is why is regular insulin the only insulin that is given IV? Think about it this way...
    Why are you giving insulin IV vs. any other route?
    IV is for fast-action to lower blood sugar. So why would you need a longer acting insulin IV?

  3. sirI, MSN, APRN

    Quote from cinnyb1018
    hi,
    new here, lpn of 29 years and about to finish a 4 year bsn program. work in a level 1 trauma er.
    my question is why is regular insulin the only insulin that is given iv?
    hello, cinnyb1018 and welcome to allnurses.com
    so good to have you with us.
    rationale for regular insulin iv: regular insulin lacks the additives that prolong action.
    please come back and post as you can. enjoy the site.:melody:

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