Nurse-Directed Blood Glucose Management in a Medical Intensive Care Unit.
作者： Friederike Compton , Robert Ahlborn , Torsten Weidehoff
DOI: 10.4037/CCN2017922
关键词:
摘要: BACKGROUND Insulin-delivery algorithms for achieving glycemic control in the intensive care unit require frequent checks of blood glucose level and thus increase nursing workload. Hypoglycemia is a serious complication associated with insulin therapy. OBJECTIVES To evaluate nurse-directed protocol management that allows individualized delivery within predefined corridor, intended to avoid hypoglycemia while maintaining adequate without increasing METHODS A was developed by an interprofessional team, protocol's performance investigated 175 patients compared 384 historical controls. RESULTS With protocol, incidents declined significantly (31% vs 12%, P < .001), minimum levels increased (80 mg/dL 93 mg/dL, .001). Mean maximum levels, proportion readings target range 26%, = .06), number (59 58, .85) remained unchanged use protocol. CONCLUSION Implementation did not workload but reduced control.
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