Effects of Hyperglycemia on Neurologic Outcome in Stroke Patients

Alison S. Paolino; Krista M. Garner

Disclosures

J Neurosci Nurs. 2005;37(3):130-135. 

In This Article

Hyperglycemia Treatment Protocols

The use of standardized protocols developed by multidisciplinary teams is associated with improved glycemic control and lower rates of hypoglycemia (AACE, 2003). Such protocols allow for faster and more effective control of hyperglycemia (Brown & Dodek, 2001). Protocols should specify the frequency of blood glucose checks and insulin dosage based on glucose level. Guidelines for preventing, identifying, and treating hypoglycemia, as well as recommendations for insulin drip adjustments based on patient conditions, should be clearly defined. Fig 2 provides an example of a protocol for continuous insulin infusion.

Table 2.

 

Upper Limits for Glycemic Target to Promote Improved Outcomes

Nurses should participate actively in the development of insulin drip protocols. Bedside nurses play an important role in monitoring the efficacy of the protocol and recognizing steps that should be added to or deleted from the protocol. The team should discuss their observations and suggestions frequently. Finding out what does and does not work is part of the learning process that will lead to optimal care.

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