INTRODUCTION
Hyperglycemia is common in critical ill patients, even those without a history of diabetes.
Regarding the hospitalized patient in the ICU(intensive care unit) reference is made to the instability of hemodynamic,metabolic and ventilatory condition.In a critical medical condition,glycemic test seems the last to be considered,but it is of great importance. Many studies have prove Hyperglycemia compromises the prognosis ,worsened clinical outcome and increase the risk of death.
CONTENT
At the moment some scientist agree the need for constant monitoring,and in case of disease's outbreak ,a timely medical treatment.
First-time therapy in the threatment oh hyperglycemia in critically ill is the intravenous insulin infusion.
This therapy is practiced following medical Protocol.
There are many protocols for nursing management about intensive insulin therapy,each of this applied to a specific health care setting;
There are no comparative studies regarding the protocols, for with there is no scientific evidence that lead to favor one over another.
CONCLUSION
Some studies have demonstrated nursing management of hyperglycemia in critically ill,based on valid and shared protocols,is effective and safe so we recommend the application.
