💉

Insulin CRI Planner

DKA protocol with glucose-coupled monitoring

← Back
Insulin Titration Protocol
!
BG < 150 mg/dL
STOP insulin • Add dextrose • Monitor closely
⚡
BG 150-250 mg/dL
Continue insulin • ADD dextrose support • Monitor closely
✓
BG 200-250 mg/dL
Continue current CRI • Maintain dextrose if needed
↑
BG > 250 mg/dL
Continue CRI • No dextrose • Reassess in 2-4 hours
Core Calculations
Concentration = Total Units ÷ Bag Volume
Units/Hour = Weight × Dose (U/kg/hr)
Pump Rate = Units/Hour ÷ Concentration
⏰ Recommended Monitoring
Blood Glucose
Every 2-4 hours
Electrolytes
q4-6h (K⁺, Na⁺, Cl⁻)
Acid-Base
BG < 250 or q6-12h
Ketones
q12h or per protocol
💡 Clinical Pearls
  • Target BG decrease of 50-75 mg/dL/hr initially
  • Add dextrose when BG reaches 250 mg/dL
  • Monitor for hypoglycemia and hypokalemia
  • Phos and Mg often drop during recovery