insulin infusions

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Thu, 01/18/2024 - 08:59
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Rachel Durham
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insulin infusions

Hi all!

We recently had a patient safety event due to a confusing insulin infusion titration scheme. We start our patient's infusions in units/kg/hr and increase/decrease by units/hr based on subsequent blood glucose results. This causes confusion between our EHR and our pumps. We would like to dose our insulin infusions in units/hr but start the initial rate via a dose banding concept- for example, patients weighing 65 kg to 75 kg would have a starting rate of 7 units/hr. This allows us to avoid units/kg/hr dose in both our EHR and pumps. Does anyone already do this? Do you mind sharing your dose banding table, please and THANK YOU.

Rachel Durham PharmD RPh
Director of Pharmacy
Fulton County Health Center
Wauseon, OH

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