FIELD: medicine.
SUBSTANCE: invention relates to medicine, in particular to resuscitation and intensive therapy. For this purpose insulin of ultra-short action "NovoRapid Penfill" is introduced to patients with acute surgical pathology of abdominal organs and manifestations of stress hyperglycemia intravenously. In case of initial glycemia level 8.3-12.2 mmole/l - 2 unit/h, >12.2 mmole/l - 4 unit/h. An hour later, if glycemia level is higher than 10.0 mmole/l, rate is increased at 1-2 unit/h, if values are 8.9-10.0 mmole/l rate is increased at 0.5-1 unit/h, if values are 8.3-8.8 mmole/l rate is increased at 0.1-0.5 unit/h until values 6.2-8.2 mmole/l are achieved. If glucose level reduces to <6.2 mmole/l, insulin dosage is reduced at 0.5 unit/h and stopped if values are lower than 6 mmole/h.
EFFECT: method ensures increase of efficiency of stress hyperglycemia correction and prevention of hypoglycemic states.
6 ex
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Authors
Dates
2010-07-20—Published
2009-03-30—Filed