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[IP] IV Insulin

This is not Medical Advice:
I can't imagine an instance when Insulin would be required to be given as an
IV Bolus. Generally it is diluted in a large volume of 5% Dextrose and Water
or Saline and given by slow infusion. If BG's come down too quickly there is
danger of brain swelling and fluid seeping into the lungs. Also, the
oxidation of glucose takes potassium from the blood into the cells and drops
the potassium to dangerous levels. where heart rhythm abnormalities can
occur. The body does release insulin into the blood directly but that is in
tiny amounts and over a long  time. Although Humulog was designed for
subcutaneous injection there is no reason that it cannot be given IV What I
am asking is why do this? Unless you are specifically given instructions to
mainline insulin by your doc, don't do it. AB

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