Critical Care Insulin Drip Calculations

This calculator is only to be used if an order has
been obtained to initiate insulin infusion.
See policy for more details.

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Insulin Drip Rate _units/hr = (BG _mg/DL - 60) X multiplier

 Policy Highlights:Policy
• A second RN must verify all IV insulin adjustments and calculations.
• Recheck blood glucose POC q1hr.
• Calculate every hour while on IV insulin even if the multiplier does not change.
• Blood glucose goal: 140 - 180 mg/dL while on infusion.
• For Hypoglycemia ≤ 70 mg/dL:  STOP IV Insulin  and treat according to
 MED - Hypoglycemia Treatment Order Set until blood glucose > 70 mg/dL.
 Continue q1hr blood glucose POC until > 180 mg/dL consecutively x 2 levels.
 Then resume IV drip at 50% of previous rate.
• Continue insulin drip until patient has blood glucose < 180 mg/dl
 consecutively x 2 levels. Consult policy for insulin transition dosing details.

Directions: For initial therapy, simply supply the blood glucose reading.
For rate adjustments, supply both the blood glucose reading and the current multiplier.