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Source:

Nursing2015

October 2004, Volume 34 Number 10 , p 22 - 22

Author

  • MELANIE E. MABREY RN, BC-ADM, MSN

Abstract

Outline

  • Crafting a protocol

  • Results and reevaluation

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    AT ANY GIVEN POINT, up to 25% of hospitalized patients are known to have diabetes; many more inpatients are hyperglycemic from undiagnosed diabetes, new medications, or stress. Research has shown that controlling blood glucose levels reduces length of stay, helps prevent complications such as infection, improves wound healing, and saves health care costs. The American College of Endocrinology (ACE), American Association of Clinical Endocrinologists (AACE), and the American Diabetes Association (ADA) all recommend I.V. insulin to treat hyperglycemia in acute situations.

    Crafting a protocol

    Faced with an increased rate of infection (mediastinitis) among our cardiac surgery patients, we formed a multidisciplinary team to review the pros and cons of initiating an I.V. insulin protocol—a strategy ...

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