title: Must have adequate maintenance fluids to prevent hypoglycaemia
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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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