Blood Glucose Control in Critical Illness
16 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the suggested target blood glucose range for general medical and surgical patients?

  • 5-9 mmol/l
  • 8-12 mmol/l
  • 7-11 mmol/l
  • 6-10 mmol/l (correct)

    • Which patient group may benefit from intensive insulin therapy without increasing the risk of hypoglycemia?

  • Patients with acute stroke and cardiac surgery (correct)
  • Patients with chronic microvascular complications
  • General medical and surgical patients
  • Patients with long-standing diabetes

    • What is the recommended approach for patients with long-standing diabetes who may have significant end-organ damage?

  • Fixed target blood glucose concentration
  • Tight glycemic control
  • Continuous intravenous insulin infusion
  • Individualized approach (correct)

    • Why is continuous intravenous insulin infusion preferred in intensive care units?

    <p>It is the most precise and effective method of glycemic control</p> Signup and view all the answers

    Why should insulin dosing in intensive care units be approached with caution?

    <p>It may lead to hypoglycemia</p> Signup and view all the answers

    What is the primary concern when adjusting insulin doses in intensive care units?

    <p>Preventing hypoglycemia</p> Signup and view all the answers

    What triggers the release of stored glucose into the bloodstream in ICU patients?

    <p>Acute stress response</p> Signup and view all the answers

    What is the consequence of prolonged hyperglycemia in critically ill patients?

    <p>Immunosuppression and increased risk of infection</p> Signup and view all the answers

    What is the advantage of using continuous insulin infusions with an insulin algorithm?

    <p>It enables rapid assessment of changes in insulin dosing and nutrition</p> Signup and view all the answers

    What is the starting point for the development of a correctional subcutaneous insulin regimen?

    <p>0.1-0.14 units per gram of total daily insulin</p> Signup and view all the answers

    How often should blood glucose levels be monitored to enable timely adjustments in insulin dosage?

    <p>Every 1-2 hours</p> Signup and view all the answers

    What is the protocol for titrating insulin dosage according to changes in nutritional intake?

    <p>Administering 1-2 U of insulin for every 10 g of glucose infused</p> Signup and view all the answers

    What is the definition of tight glycemic control?

    <p>A glucose concentration of 80-110 mg/dl</p> Signup and view all the answers

    What is the challenge associated with achieving tight glycemic control?

    <p>All of the above</p> Signup and view all the answers

    What is the consequence of inaccurate insulin infusion rates?

    <p>Fluctuations in blood glucose and/or an increase in hyperglycemia</p> Signup and view all the answers

    What is the reason for high blood glucose levels unrelated to an acute change in nutritional intake?

    <p>Increased insulin resistance</p> Signup and view all the answers

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser