SCCM Resource Library-Acute Dysglycemia: Too Sweet, Not Sweet Enough; To Get It Just Right Takes a Team

Video Transcription

Video Summary

Nurses play a critical role in glycemic management and need to be knowledgeable about target ranges and rationale behind them. They should be aware of components of care such as surveillance of blood glucose levels and prevention and treatment of hypoglycemia. Understanding the insulin protocol for their unit is also important. Nurses need to be educated on the expected glycemic outcomes for their patients. The speaker discussed challenges in achieving glycemic control in the ICU and emphasized the need for personalized targets based on individual patient factors. Avoiding hyperglycemia, hypoglycemia, and glycemic variability is crucial, and frequent monitoring of blood glucose is necessary. The use of electronic decision support tools, like e-protocol insulin, can aid in achieving glycemic control and has been associated with improved outcomes. The potential for machine learning to personalize blood glucose targets based on patient-specific factors was also mentioned. In conclusion, consistent and informed glycemic management protocols and the use of electronic decision support tools can enhance glycemic control in the ICU.

Asset Subtitle

Endocrine, Pharmacology, 2020

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2020 Critical Care Congress held February 16-19, 2020, in Orlando, Florida, USA.

Learning Objectives

Define the roles of different professionals in glycemic control in the ICU
Design a useful protocol to meet the blood glucose target
Apply a protocol to transition from a continuous to a basal/bolus insulin regimen

Glucose Control 2020: Moving Towards Increased Clarity

James Krinsley

How Many Carbs in That Tube Feeding?

Beth Taylor

Making the Leap From Continuous Infusion to Basal/Bolus Insulin

Judith Jacobi

Another Insulin Shot on the Way: The Role of the Nurse

Karen Sands

I Want My Patients in the Unit To Be Just Right!

Ellie Hirshberg

Case Studies

Beth Taylor

Meta Tag

Content Type Presentation

Knowledge Area Endocrine

Knowledge Area Pharmacology

Knowledge Level Foundational

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Diabetes

Tag Insulin

Year 2020

Keywords

nurses

glycemic management

target ranges

components of care

surveillance

blood glucose levels

hypoglycemia prevention

insulin protocol

expected glycemic outcomes

ICU challenges

personalized targets

electronic decision support tools

improved outcomes

machine learning

glycemic control

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