Insulin IV Infusion In Patients | Medical Algorithm

Are you evaluating a nonpregnant hospitalized adult with hyperglycemia?

Yes

Does/Is the patient?

• have diabetic ketoacidosis or the nonketotic hyperosmolar state?

Yes

• being managed perioperatively?

Yes

• recently undergone heart surgery?

Yes

• recently had an organ transplant?

Yes

• in cardiogenic shock?

Yes

• have hyperglycemia associated with high-dose therapy with glucocorticoids or other medication?

Yes

• a Type 1 diabetic with a nothing-by-mouth (NPO) status?

Yes

• in the ICU?

Yes

Are you trying to determine the appropriate insulin dose for the patient after discharge?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of reasons to consider intravenous infusion of regular insulin to this patient

Should an intravenous infusion of regular crystalline insulin be considered for this patient?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Laboratory Tests

Therapy

Dosage Adjustments
Administration
Prevention
- Treat-to-Target Insulin Titration Schedule for Patient with Type 2 Diabetes

Monitoring

Adverse Effects
- Treat-to-Target Insulin Titration Schedule for Patient with Type 2 Diabetes

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Indications for IV Infusion of Regular Crystalline Insulin in Hospitalized Adult

Purpose: To identify a nonpregnant adult in the hospital who may benefit from intravenous infusion of regular insulin to control hyperglycemia.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10