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regular insulin only insulin given IV

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Hi,

New here, LPN of 29 years and about to finish a 4 year BSN program. Work in a level 1 trauma ER.

My question is why is regular insulin the only insulin that is given IV?
Quote from cinnyb1018Hi,New here, LPN of 29 years and about to finish a 4 year BSN program. Work in a level 1 trauma ER. My question is why is regular insulin the only insulin that is given IV?

Comment:
Quote from cinnyb1018hi,new here, lpn of 29 years and about to finish a 4 year bsn program. work in a level 1 trauma er. my question is why is regular insulin the only insulin that is given iv?

Comment:
Actually, Humalog and Novalog can be given IV, but they cost more, & offer no advantage over regular insulin. Just remember that IV insulin has a very short half-life. There's no point in giving an IV bolus of insulin unless you are going to start a drip within 30 minutes. The ER docs are famous for doing this and all it does is lower the pt's BG for a few minutes. In fact, to quote a well respected UofMiami endocrinologist, "the only place for regular insulin in a hospital is in an insulin drip." We're still trying to abolish use of the "regular insulin sliding scale" (RISS)

Comment:
Like I tell all of my students and new RN's LOOK IT UP ! Never take what anyone tells you as fact. Besides if you look it up your more likley to remember the facts. If you find it in a med book , if you go to court you can say ....I found it in _____. But if you go to court and say, well the other nurse told me....... You'll look like a fool.

Comment:
Quote from Myxel67There's no point in giving an IV bolus of insulin unless you are going to start a drip within 30 minutes.

Comment:
Quote from blueskyHyperkalemia.

Comment:
Given to HHNK patients for BG control and for traumatic compressions.

Comment:
Quote from cinnyb1018Hi,New here, LPN of 29 years and about to finish a 4 year BSN program. Work in a level 1 trauma ER. My question is why is regular insulin the only insulin that is given IV?
Author: alice  3-06-2015, 18:02   Views: 509   
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