Denise
April 23rd, 2008, 09:51 AM
Hyperglycemia has been associated with increased in-hospital morbidity and mortality for multiple medical and surgical conditions. Studies have shown that the risk of infection is significantly higher for patients undergoing coronary artery bypass graft (CABG) if blood glucose levels were elevated and that the incidence of deep wound infections in diabetic patients undergoing cardiac surgery was reduced by controlling mean blood glucose levels below 200mg/dL in the immediate postoperative period. Further studies demonstrated that intensive insulin therapy not only reduced overall in-hospital mortality but also decreased blood stream infections, acute renal failure, red cell transfusions, ventilator support, and intensive care.
Attached is a sample protocol for managing perioperative blood glucose levels between 80-120 mg/dl in hyperglycemic patients. It includes information on standard insulin drip concentration, initiating drip, rechecking blood glucose levels, and adjusting dosages until the desired effect is achieved.
Attached is a sample protocol for managing perioperative blood glucose levels between 80-120 mg/dl in hyperglycemic patients. It includes information on standard insulin drip concentration, initiating drip, rechecking blood glucose levels, and adjusting dosages until the desired effect is achieved.