Evaluation of nursing perceptions about three insulin protocols for blood glucose control in critical care

Glycemic control in patients receiving insulin critics: integrative review

“…17 It should be remembered that the calculations of wrong doses could lead to inappropriate insulin infusions and, consequently, the adverse events, increasing, in some cases, episodes of hypoglycemia. 17 Another advantage of the computerized system is that it can be fed with information on patient condition that may favor the occurrence of hypoglycemia, such as nutritional status, the suspension of nutritional therapy, the type of nutrition, development of renal dysfunction, hepatic and use of dialysis or corticosteroid therapy.…”

“…17 It should be remembered that the calculations of wrong doses could lead to inappropriate insulin infusions and, consequently, the adverse events, increasing, in some cases, episodes of hypoglycemia. 17 Another advantage of the computerized system is that it can be fed with information on patient condition that may favor the occurrence of hypoglycemia, such as nutritional status, the suspension of nutritional therapy, the type of nutrition, development of renal dysfunction, hepatic and use of dialysis or corticosteroid therapy. 18 On the other hand, it is known that there are imperfections in the conventional glycemic control, particularly associated with the accuracy in measurement of blood glucose by the nursing staff, because it is dependent on a procedure-governed behavior of the team with respect to measuring the glucose hourly.…”