Description: An easy method of providing intra-op glucose management in insulin dependent, and some oral-agent-managed diabetics.
For Maine Med and Scarborough Surgery Center Protocol, click here
Steps to follow:
- Print out
2-page order sheet (linked here)
- Mix Regular Insulin in 1000 cc D5 L/R (suggested 20 units/1000 cc).
Add some KCl (suggested 10-20 Meq) and
start at 100 cc/ hr (which is 2 units /hr)
- Check Glucoscan every hour in OR.
If glucoscan >200mg%, give Regular Insulin bolus according to grid on Page 2 of printout.
If glucoscan <100mg%, decrease infusion to 75 ml/hr.
- By the time you get patient to PACU, you will most likely have determined patient's basal insulin requirement (units per hour) in this manner.
- Complete Order Sheet (above) for continued management on the floor until patient taking p.o. or transferred to "sliding scale" management.