Intensive Insulin Therapy in the Critically Ill Geriatric Patient
Intensive Insulin Therapy in the Critically Ill Geriatric Patient
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DOI：
10.1097/01.cnq.0000306391.94529.74
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发表时间：
2008-01-01
影响因子：
1.4
通讯作者：
Dellasega, Cheryl
中科院分区：
文献类型：
--
作者：
Humbert, Jennifer;Gallagher, Kendra;Dellasega, Cheryl
严格的血糖控制可以显著改善重症监护室（CCU）中老年重症患者的预后。在过去，血糖水平是通过每4至6小时进行一次即时检测来管理的，并使用胰岛素治疗的滑动量表。本文探讨了需要更密集的静脉注射胰岛素治疗。研究表明，通过制定一套特定的常规医嘱、定义明确的算法，并为CCU护士提供这些工具，可以改善患者的治疗效果。沿着讨论了开始强化静脉胰岛素治疗的方法，以及CCU护士在床边面临的一些最大挑战。
Tight glucose control can significantly improve outcomes of critically ill geriatric patients in the critical care unit (CCU). In the past, blood glucose levels were managed by a point-of-care testing every 4 to 6 hours and using a sliding scale of insulin therapy. This article explores the need for more intensive intravenous insulin therapies. Studies have shown that patient outcomes improve by having a specific set of standing orders, a well-defined algorithm, and empowering the CCU nurses with these tools. Methods for initiating intensive intravenous insulin therapies are discussed along with some of the biggest challenges faced by CCU nurses at the bedside.