Intravenous infusion of regular crystalline insulin may be indicated for a hospitalized patient under certain circumstances.
Indications for using an intravenous infusion of regular insulin in a hospitalized nonpregnant adult with hyperglycemia:
(1) diabetic ketoacidosis
(2) nonketotic hyperosmolar state
(3) perioperative management
(4) postoperative management after heart surgery
(5) postoperative management after organ transplantation
(6) cardiogenic shock
(7) hyperglycemia associated with high-dose therapy with glucocorticoids or other medication
(8) nothing-by-mouth (NPO) status for a Type 1 diabetic
(9) critical care
(10) as part of strategy to determine the appropriate insulin dose for a hospitalized diabetic with newly diagnosed diabetes or with a significant change in metabolic status
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