Fixed-rate insulin infusion for DKA/HHS.
Indications
- • DKA
- • HHS
Contraindications
- ⚠ Hypokalemia < 3.3 (correct K first)
Equipment
- • Insulin 50 U in 50 mL NS (1 U/mL)
- • Infusion pump
- • IV fluid
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/6)
Tap to complete
1 L NS in first hour (adjust for age/HF).
Immediate complications
- ⚠ Hypokalemia
- ⚠ Hypoglycemia
- ⚠ Cerebral edema (kids)
Recognition
- • Falling K, glucose
Initial management
- • Adjust infusion; add dextrose
Prevention
- • Hourly checks
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Drugs used in this procedure
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
