2.50
Hdl Handle:
http://hdl.handle.net/10755/182288
Category:
Abstract
Type:
Presentation
Title:
Is IV Insulin-Associated Hypoglycemia Avoidable?
Author(s):
Michalovic, Doris
Author Details:
Doris Michalovic, RN, MS, FNP-BC, Our Lady of Lourdes Memorial Hospital, Inc., Binghamton, New York, USA, email: dmichalovic@lourdes.com
Abstract:
Despite the proven benefits of intravenous (IV) insulin infusion therapy for management of hyperglycemia in hospitalized patients, a primary limiting factor is the risk of hypoglycemia. The objective of this study was to identify causes contributing to hypoglycemic episodes during the use of IV insulin. A retrospective medical record review was conducted over a six month period at a 267 bed community hospital on all patients who experienced hypoglycemia (blood glucose [BG] < 70 mg/dl) during IV insulin therapy using a computerized dosing algorithm. There were 5,111 BG readings during 241 infusions. Of these, 96 represented hypoglycemic episodes (rate of 1.9%). Avoidable factors, primarily related to failure to follow established protocols, were identified in 67% of hypoglycemic events. The study results challenge the generally held assumption that hypoglycemia is an inevitable consequence of the use of IV insulin. Future studies of the safety of IV insulin protocols should include an attempt to distinguish hypoglycemic events intrinsic to the dosing algorithm from hypoglycemia that is secondary to avoidable contributing factors. Consistent implementation of protocols designed to minimize the risk of hypoglycemia may reduce the incidence of hypoglycemia associated with the use of IV insulin therapy. References: American Diabetes Association. (2009). Standards of Medical Care in Diabetes 2009. Diabetes Care 32(Suppl 1), S13-S61.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleIs IV Insulin-Associated Hypoglycemia Avoidable?en_GB
dc.contributor.authorMichalovic, Dorisen_US
dc.author.detailsDoris Michalovic, RN, MS, FNP-BC, Our Lady of Lourdes Memorial Hospital, Inc., Binghamton, New York, USA, email: dmichalovic@lourdes.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182288-
dc.description.abstractDespite the proven benefits of intravenous (IV) insulin infusion therapy for management of hyperglycemia in hospitalized patients, a primary limiting factor is the risk of hypoglycemia. The objective of this study was to identify causes contributing to hypoglycemic episodes during the use of IV insulin. A retrospective medical record review was conducted over a six month period at a 267 bed community hospital on all patients who experienced hypoglycemia (blood glucose [BG] &lt; 70 mg/dl) during IV insulin therapy using a computerized dosing algorithm. There were 5,111 BG readings during 241 infusions. Of these, 96 represented hypoglycemic episodes (rate of 1.9%). Avoidable factors, primarily related to failure to follow established protocols, were identified in 67% of hypoglycemic events. The study results challenge the generally held assumption that hypoglycemia is an inevitable consequence of the use of IV insulin. Future studies of the safety of IV insulin protocols should include an attempt to distinguish hypoglycemic events intrinsic to the dosing algorithm from hypoglycemia that is secondary to avoidable contributing factors. Consistent implementation of protocols designed to minimize the risk of hypoglycemia may reduce the incidence of hypoglycemia associated with the use of IV insulin therapy. References: American Diabetes Association. (2009). Standards of Medical Care in Diabetes 2009. Diabetes Care 32(Suppl 1), S13-S61.en_GB
dc.date.available2011-10-28T15:17:37Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:17:37Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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