What are the logistics of implementing an IV insulin therapy protocol?

Updated: Nov 06, 2018
  • Author: Guy W Soo Hoo, MD, MPH; Chief Editor: George T Griffing, MD  more...
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Answer

Answer

Logistics of implementation are as follows:

  • Paper vs computerized vs web based protocols

  • Nurse-driven, with varying physician input

  • Adherence to protocol or allowance for changes in protocol ("protocol violations")

  • Differences in frequency of glucose monitoring

  • Differences in requirement of a constant glucose source (parenteral or enteral infusions)

  • Adjustments for hypoglycemia (variable levels of adjustment after hypoglycemia)

  • Average time to goal (variable; from 2-24 h)


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