Implementation of an insulin protocol using a multiplier-based calculation for determining infusion rates in critically ill patients.
Evaluation of a nurse-titrated insulin infusion method for hyperglycemia treatment was conducted on data from a 19-bed mixed medical-surgical intensive care unit (ICU) with results demonstrating that glucose management did not consistently meet target glucose goals. A multidisciplinary team was created to evaluate and implement a method of insulin infusion administration that would decrease titration subjectivity and improve glycemic management. Utilizing a Plan-Do-Study-Act (PDSA) cycle for trial implementation of a calculation-based method, data demonstrated a significant improvement in glycemic management when compared to the previous method of insulin administration.
Nichols
Rebecca
R
ICU, Avera McKennan Hospital and University Health Center, USA.
Zawada
Edward
E
Johnson
Thomas
T
Aaronson
Michael L
ML
Herr
Patricia
P
Casanova
Jill
J
D016638:Critical Illness; D006801:Humans; D006943:Hyperglycemia / Q000188:drug therapy*; D007328:Insulin / Q000008:administration & dosage* / Q000627:therapeutic use; D007332:Insulin Infusion Systems; D010348:Patient Care Team; D012189:Retrospective Studies; D017186:Titrimetry
D007328:Insulin