What are the general orders in the Portland protocol for IV insulin therapy?

Updated: Nov 06, 2018
  • Author: Guy W Soo Hoo, MD, MPH; Chief Editor: George T Griffing, MD  more...
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General orders are as follows:

  • All intermittent (noncontinuous) intravenous medications should be mixed in normal saline.

  • Do not administer intermittent (noncontinuous) intravenous medications mixed in dextrose-containing solutions.

  • Do not use any dextrose-containing intravenous solutions for maintenance or daily fluids except when total parenteral nutrition is required.

  • If daily steroids are required administer as a continuous infusion over a 24 hours. Do not administer bolus intravenous steroids or oral steroids while on intravenous insulin protocol.

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