{"title":"Massive intentional insulin overdose","authors":"H. Barton, P. Hendy, A. Evans","doi":"10.1002/PDI.1546","DOIUrl":null,"url":null,"abstract":"occurred after a two-hour cessation of the IV dextrose. The dextrose infusion was successfully stopped 108 hours after the overdose, with a total of 1.34kg of dextrose (equivalent to 26L of 5% dextrose) administered. Excision of the injection site was considered, but the patient’s CBG was maintained with IV glucose and diet alone. Potassium was measured on admission and regularly after this, and was within normal range on each occasion. Random cortisol level during the admission was within normal range. The patient was reviewed by the psychiatry team, whilst an inpatient; the team deemed him safe for discharge with counselling as an outpatient.","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1546","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Practical diabetes international : the journal for diabetes care teams worldwide","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/PDI.1546","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 3
Abstract
occurred after a two-hour cessation of the IV dextrose. The dextrose infusion was successfully stopped 108 hours after the overdose, with a total of 1.34kg of dextrose (equivalent to 26L of 5% dextrose) administered. Excision of the injection site was considered, but the patient’s CBG was maintained with IV glucose and diet alone. Potassium was measured on admission and regularly after this, and was within normal range on each occasion. Random cortisol level during the admission was within normal range. The patient was reviewed by the psychiatry team, whilst an inpatient; the team deemed him safe for discharge with counselling as an outpatient.