By vgreene, 20 February, 2018 Adjust insulin drip based on BG ✓. Once pt stable, transition to basal/bolus insulin,8 allowing 2h overlap9 w/ insulin drip, prior to d/c from ICU
By vgreene, 20 February, 2018 Transition to SC basal/bolus insulin,9 allowing 2h overlap10 w/ insulin drip, prior to d/c from ICU
By vgreene, 20 February, 2018 Adjust insulin drip based on BG monitoring, comparing average hourly rate of change since last BG5
By vgreene, 20 February, 2018 For critically ill1 non-DKA hyperglycemia, use insulin drip; monitor BG. ✓A1c2
By vgreene, 20 February, 2018 ✓BG q1h while on IV insulin, until 3 consecutive values in target range, then q2h. Once stable x12-24h, ✓q4h. Resume q1h checks if: any BG out of range; insulin infusion rate change; clinical condition change; starting/stopping steroids,3 pr
By vgreene, 20 February, 2018 Start insulin drip if BG ≥180; aim for BG 140-1804 in critically ill1 pts. Divide initial BG by 100, round up/down to nearest 0.5: This value is both the bolus amount (units) and the initial infusion rate (units/h)