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Must have adequate maintenance fluids to prevent hypoglycaemia
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| bet | 323/654 | | Sana | 03.01.2022 | | Hajmi | 1,5 Mb. | | #14803 |
Must have adequate maintenance fluids to prevent hypoglycaemia.
Management of severe cardiotoxicity or cardiac arrest due to hyperkalaemia
0.2 units/kg of insulin in glucose 50% IV over 15 to 30 minutes.
[Use this preparation if insufficient time to prepare insulin—glucose 25% infusion].
Route
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Intravenous
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Preparation/Dilution
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Treatment of hyperkalaemia
INSULIN—GLUCOSE 25% INFUSION – Run via central line
Infusion strength
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Prescribed amount
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1 mL/kg/hour = 0.1 unit/kg/hour
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5 units insulin and make up to 50 mL
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Draw up 0.5 mL (50 units of insulin) and add 9.5 mL sodium chloride 0.9%, glucose 5% or glucose 10% to make a final volume of 10 mL with a concentration of 5 units/mL.
FURTHER DILUTE: Draw up 1 mL (5 units of insulin) of solution and dilute with glucose 25% [25 mL glucose 50% plus 24 mL water for injection] to make a final volume of 50 mL with a concentration/dose rate of 1 mL/kg/hour = 0.1 units/kg/hour.
INSULIN ONLY INFUSION – Can be infused peripherally
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