Details

Autor(en) / Beteiligte

• Carmona Monge, F J
• Martínez Lareo, M
• García Gómez, S
• Jara Pérez, A
• Alameda Varela, R
• Quirós Herranz, C
• Rollán, G
• Cerrillo González, I

Titel

Effectiveness and safety of goal directed nurse-led blood glucose control in an intensive care unit: a prospective observational study

Ist Teil von

• Enfermeria intensiva, 2012-01, Vol.23 (1), p.11

Ort / Verlag

Spain

Erscheinungsjahr

2012

Quelle

MEDLINE

Beschreibungen/Notizen

• to evaluate the effectiveness and safety of a nurse-led blood glucose control protocol in a medical ICU. a descriptive, prospective study was carried out for a period of 13 months. All blood glucose values from patients on insulin therapy for intensive glycemic control were recorded daily. A total of 12,677 blood glucose determinations were performed on the 69 patients under glycemic control; 57.9% of the determinations had predetermined study target values for blood glucose (100-140 mg/dl) and 68.8% of the determinations had physiological blood glucose values (80-140 mg/dl); no values under 40 mg/dl were obtained, and only 0.2% were between 40-60 mg/dl. For an adequate blood glucose control using intensive insulin therapy, individual management of insulin infusion regimen is essential, adjusted to the characteristics of each patient. A nurse-led intervention has allowed better results to be obtained in comparison with other studies in which different protocols for insulin infusion are used.