Hello,
Our organization has a desire to create an order panel for the treatment of high dose insulin euglycemia (HDIE). The initial thought was to build an infusion record using a 500 unit/500 mL concentration so as to differentiate from our 100 unit/100mL standard concentration bags, while maintaining the same concentration. However, there are concerns with volume overload. We have learned of other sites using a higher concentration such as 10 units/mL (not sure of total volume) or 16 units/mL (250 mL). If your site does use a higher concentration insulin to treatment of HDIE, would you please share what safeguards you have put in place to mitigate errors since this dose would be used very rarely. Thanks!
Jennifer