2005 Edition Report on Drug Administration Procedure & Practices ...
2005 Edition Report on Drug Administration Procedure & Practices ...
2005 Edition Report on Drug Administration Procedure & Practices ...
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Intravenous InsulinAdministrati<strong>on</strong> Form(DKI or IV insulin pump)<strong>Drug</strong> allergy ________________Interval of test strip glucose m<strong>on</strong>itoringDate/Time orderedIntervalHospital No: ____________ ID No. _______________Name _________________________________________Sex ______ Age_____ Chinese name_______________Ward______ Bed_____ Department________________Date/TimeDr’s prescripti<strong>on</strong>Insulin prescripti<strong>on</strong>Dr Sig.TimeBlood glucosemmol/LUrine ket<strong>on</strong>eIV Insulin PumpInsulin(Units/hr)CheckedbyGivenbyTimestartNurse RecordDextrose Potassium Insulin (DKI) regimenIV fluidInsulin K +OtherTimeadded addedIV fluid Vol (ml)end(units) (mmol) additivesIV fluidinfused(ml)CheckedbyGiven byRemarksInsulin pumpTimeChecked byPrepared byHAHO Apr 022