INSULIN INFUSION TREATMENT ALGORITHM

State

Instructions

  1. Select the correct calculation type:
    • First: First blood glucose in the ICU or after a transport out of ICU for which insulin was discontinued.
    • 30 min: 30-minute check of blood glucose as recommended by algorithm.
    • Off insulin: Patient is not being treated with an insulin infusion and not appropriate to use "first" or "30 min".
    • On insulin: Patient is being treated with an insulin infusion and not appropriate to use "first" or "30 min".
  2. Enter the requested information:
    • Current blood glucose concentration in mmol/L.
    • Where appropriate, the previous blood glucose concentration in mmol/L and the current insulin infusion rate in units/hour.
  3. Click "Calculate".

Results

A recommendation regarding the insulin infusion will be provided along with a suggested time for the next blood glucose check. Other recommended actions may be displayed if appropriate.

You will then be asked if you accept the recommended actions:

Instructions 1
  • Yes: If the recommendation appears appropriate for your patient, click "Yes".
  • No: If the recommendation appears inappropriate for your patient, click "No" and enter the override reason. You should then ask a member of the medical staff to review your patient and recommend treatment.

After you have made your choice, you are required to copy a record of this calculation by clicking the "Copy" button and pasting it into the electronic medical record on eRIC.

Instructions 2

Background Information

NICE Sugar Image
  • This algorithm has been designed by RNSH ICU for use in the management of patients admitted to the intensive care unit who require insulin infusions for management of their blood sugar levels (BSL).
  • This algorithm is based on the NICE-SUGAR STUDY blood glucose management algorithm which was designed for use solely by medical practitioners treating patients enrolled in the NICE-SUGAR STUDY.
  • By using the Algorithm you acknowledge and agree that you have read these terms and conditions and agree to be bound by and comply with them.
  • SPECIFIC TREATMENT REGIMENS FOR PATIENTS REMAIN THE RESPONSIBILITY OF THE TREATING MEDICAL PRACTITIONER, WHO CAN MAKE A PROPER ASSESSMENT OF THE PATIENT. NOTWITHSTANDING USE OF THIS ALGORITHM, CLINICAL JUDGMENT MUST PREVAIL AT ALL TIMES BEFORE INSULIN OR ANY OTHER TREATMENT IS ADMINISTERED OR ALTERED IN PATIENTS.