Insulin (Actrapid – for hyperkalemia)

Insulin binds to the plastic of giving sets. Flush the plastic tubing with 20 mL of prepared insulin solution into a receptacle prior to connecting to the infant. This is to saturate the binding.

Insulin concentrations ≤ 0.05 units/mL are not reliably delivered even after preconditioning and flushing.

• 
  Infants with serum potassium (K⁺) ≧ 7.0 mmol/L
  
• 
  Infants with hyperkalaemia and abnormal ECG
  
• 
  Management of severe cardiotoxicity or cardiac arrest due to hyperkalaemia
  

Humulin R [Eli Lilly]

Hypurin Neutral Injection [Aspen]

Starting dose: 0.1 unit/kg/hour.

Dose range: 0.05 to 0.2 unit/kg/hour.

Titrate infusion rate to serial serum potassium and blood glucose concentrations.

Starting dose: 0.1 unit/kg/hour.

Dose range: 0.05 to 0.2 unit/kg/hour.

Titrate infusion rate to serial serum potassium and blood glucose concentrations.