16 Questions
What is the suggested target blood glucose range for general medical and surgical patients?
6-10 mmol/l
Which patient group may benefit from intensive insulin therapy without increasing the risk of hypoglycemia?
Patients with acute stroke and cardiac surgery
What is the recommended approach for patients with long-standing diabetes who may have significant end-organ damage?
Individualized approach
Why is continuous intravenous insulin infusion preferred in intensive care units?
It is the most precise and effective method of glycemic control
Why should insulin dosing in intensive care units be approached with caution?
It may lead to hypoglycemia
What is the primary concern when adjusting insulin doses in intensive care units?
Preventing hypoglycemia
What triggers the release of stored glucose into the bloodstream in ICU patients?
Acute stress response
What is the consequence of prolonged hyperglycemia in critically ill patients?
Immunosuppression and increased risk of infection
What is the advantage of using continuous insulin infusions with an insulin algorithm?
It enables rapid assessment of changes in insulin dosing and nutrition
What is the starting point for the development of a correctional subcutaneous insulin regimen?
0.1-0.14 units per gram of total daily insulin
How often should blood glucose levels be monitored to enable timely adjustments in insulin dosage?
Every 1-2 hours
What is the protocol for titrating insulin dosage according to changes in nutritional intake?
Administering 1-2 U of insulin for every 10 g of glucose infused
What is the definition of tight glycemic control?
A glucose concentration of 80-110 mg/dl
What is the challenge associated with achieving tight glycemic control?
All of the above
What is the consequence of inaccurate insulin infusion rates?
Fluctuations in blood glucose and/or an increase in hyperglycemia
What is the reason for high blood glucose levels unrelated to an acute change in nutritional intake?
Increased insulin resistance
Learn about the optimal level of glucose control and its benefits in critically ill patients. Discover the safe target blood glucose range and the role of intensive insulin therapy in different patient groups. Test your knowledge on this important medical topic!
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