clinicalguidelines

clinicalguidelines / yaleinsulindrip / 0.1.0

README.md

Yale Insulin Infusion Protocol

About

The Yale Insulin Infusion (YII) is a protocol that aims to control blood glucose levels in hyperglycemic patients in critical care. This implementation serves to enable YII as a REST api deployed on Algorithmia.

Note snomed codes used below:

CodeDescription
325064004Insulin soluble human 100units/mL injection solution 10mL vial (product)
258666001Unit
258949000Unit/hour
255560000Intravenous
166888009Blood glucose method

Usage

Compute Initial Bolus and Infusion

Example Input

{
  "current_bg": 300
}

Example Output

{
  "at_target_bg": false,
  "bolus": {
    "dose": 3,
    "frequency": "once",
    "product": 325064004,
    "route": 255560000,
    "uom": 258666001
  },
  "current_bg": 300,
  "infusion": {
    "product": 325064004,
    "rate": 3,
    "route": 255560000,
    "uom": 258949000
  },
  "next_bg_check": 60
}

Compute Infusion

Example Input

{
  "hourly_bg_change": 0,
  "consecutive_bg_in_target_count": 0,
  "current_rate": 3,
  "current_bg": 300
}

Example Output

{
  "at_target_bg": false,
  "current_bg": 300,
  "infusion": {
    "product": 325064004,
    "rate": [[0, 4]],
    "route": 255560000,
    "uom": 258949000
  },
  "next_bg_check": 60
}

Reference

Reference: Shetty S, Inzucchi SE, Goldberg PA, Cooper D, Siegel MD, Honiden S. Adapting to the new consensus guidelines for managing hyperglycemia during critical illness: The Updated Yale Insulin Infusion Protocol. Endocr Pract. 2012;18:363-370. <http://inpatient.aace.com/sites/all/files/Yale_IIP_MICU120-160_2011.pdf; Accessed 06/28/2017>

PDF can also be found here: https://github.com/damondouglas/yaleinsulindrip/files/1112949/Yale_IIP_MICU120-160_2011.pdf

Errors/Issues

Report here