The most common maintenance dose of intravenous insulin for a patient with hyperglycemic hyperosmolar syndrome (HHS) would be
a. 0.1 U/kg/hr. c. 2.0 U/kg/hr.
b. 1.0 U/kg/hr. d. 5.0 U/kg/hr.
A
Regular insulin infusing at an initial rate calculated as 0.1 unit per kg hourly (7 units/hr for a person weighing 70 kg) should lower the plasma glucose by 50 to 70 mg/dL in the first hour of treatment. If the measured glucose does not decrease by this amount, the insulin infusion rate may be doubled until the blood glucose is declining at a rate of 50 to 70 mg/dL per hour.
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