title: Examining IV Insulin Practice Guidelines in the Cardiac Surgery Patient: Nurses Evaluating Quality Outcomes.
abstract: Recent changes in the Surgical Care Improvement Project guideline require blood glucose values be less than 180 mg/dL 18 to 24 hours after anesthesia end time after cardiac surgery. Our study compares the first group of patients transitioned off IV insulin on postoperative day 1, 24 hours after anesthesia end time, whereas the second group was transitioned off IV insulin on the second day, 48 hours after anesthesia end time. Results show no statistical difference in outcomes between groups.
authors.affiliation: Elmhurst Hospital, Elmhurst, Illinois (Mss Westbrook, McDermott, and Gobber); College of Nursing and Health Professions, Lewis University, Romeoville, Illinois (Dr Sherry); and Department of Nursing and Health Sciences, Elmhurst College, Elmhurst, Illinois (Dr Pabst).
authors.forename: Amy
authors.initials: A
authors.lastname: Westbrook
authors.forename: Daisy
authors.initials: D
authors.lastname: Sherry
authors.forename: Martha
authors.initials: M
authors.lastname: McDermott
authors.forename: Michele
authors.initials: M
authors.lastname: Gobber
authors.forename: Mary
authors.initials: M
authors.lastname: Pabst
mesh_terms: D061605:Administration, Intravenous / Q000379:methods*; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D006348:Cardiac Surgical Procedures / Q000451:nursing* / Q000592:standards; D015331:Cohort Studies; D005260:Female; D038321:Glycemic Index / Q000187:drug effects; D006801:Humans; D007328:Insulin / Q000008:administration & dosage* / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D016528:Postanesthesia Nursing / Q000379:methods / Q000592:standards; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies
chemical_list: D001786:Blood Glucose; D007328:Insulin