Hypoglycemia during continuous insulin infusion in the Intensive Care Unit

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.6748

Keywords:

Hypoglycemia; Insulin; Intensive Care Units; Nurses; Risk factors.

Abstract

Objectives: to analyze the risk factors for hypoglycemia in critically ill patients using Continuous Insulin Infusion found in the medical records of patients admitted to an Intensive Care Unit and to describe nurses' knowledge about the risk factors for hypoglycemia in critically ill patients using ICI. Methodology: Quantitative and qualitative study of the descriptive and exploratory type. The ICU setting of a state public hospital in Rio de Janeiro. The sample included medical records and nurses. Results: risk factors in medical records: delay in hourly glycemia; vasoactive drugs; organic failure; diabetes mellitus, sepsis; hemodialysis; acute or chronic renal failure; zero / oral diet and liver disease. Nurses reported inadequate or absent nutritional support, delays in blood glucose measurements, inadequate adjustments to the insulin protocol and hemodynamic instability are risk factors for hypoglycemia in ICI. Final considerations: Nurses' knowledge of the risk factors for hypoglycemia during ICI is necessary.

Author Biographies

Raquel Magalhães de Azeredo Granadeiro, Universidade Federal Fluminense

Mestre em Enfermagem pela Universidade Federal Fluminense;

Professora do Centro Universitário Augusto Motta.

Selma Petra Chaves Sá, Universidade Federal Fluminense

Professora Titular da Escola de Enfermagem da Universidade Federal Fluminense;

Coordenadora do Centro de Atenção à Saúde do Idoso e seus Cuidadores.

Barbara Pompeu Christovam, Universidade Federal Fluminense

Professor Adjunto da Escola de Enfermagem da Universidade Federal Fluminense;

Diretora do Centro de Atenção e Investigação em Tuberculose Profº Mazzini Bueno.

Renê dos Santos Spezani, Universidade do Estado do Rio de Janeiro

Professor Adjunto do Centro Universitário Augusto Motta;

Pós Doutorando em Enfermagem pela Universidade do Estado do Rio de Janeiro;

Membro da Comissão Organizadora do Programa de Atualização em Enfermagem (PROENF) de Urgência e Emergência.

Daniel da Silva Granadeiro, Centro Universitário Augusto Motta

Doutorando pelo Programa de Pós Graduação em Enfermagem e Biociências pela Universidade Federal do Estado do Rio de Janeiro;

Bolsista DS/CAPES;

Professor do Centro Universitário Augusto Motta e do Centro Universitário São José.

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Published

14/08/2020

How to Cite

GRANADEIRO, R. M. de A.; SÁ, S. P. C.; CHRISTOVAM, B. P.; SPEZANI, R. dos S.; GRANADEIRO, D. da S. Hypoglycemia during continuous insulin infusion in the Intensive Care Unit. Research, Society and Development, [S. l.], v. 9, n. 9, p. e163996748, 2020. DOI: 10.33448/rsd-v9i9.6748. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/6748. Acesso em: 22 nov. 2024.

Issue

Vol. 9 No. 9

Section

Health Sciences

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Copyright (c) 2020 Raquel Magalhães de Azeredo Granadeiro, Selma Petra Chaves Sá, Barbara Pompeu Christovam, Renê dos Santos Spezani, Daniel da Silva Granadeiro

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