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Management of hyperglycemic emergencies.

Zara R Brenner1

  • 1Department of Nursing, State University of New York at Brockport and Rochester General Hospital, 14621, USA. ZaraRN@aol.com

AACN Clinical Issues
|February 8, 2006
PubMed
Summary

Expert nurses can effectively manage hyperglycemic emergencies like diabetic ketoacidosis and hyperosmolar hyperglycemic states. Management involves early detection, evidence-based treatment, and prevention strategies to avoid recurrence in diabetic patients.

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Area of Science:

  • Endocrinology
  • Clinical Nursing

Background:

  • Diabetes mellitus is a prevalent condition.
  • Hyperglycemic emergencies are significant clinical challenges.

Purpose of the Study:

  • To highlight the role of expert nurses in managing diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic states (HHS).
  • To outline a comprehensive approach to patient care for these emergencies.

Main Methods:

  • Review of clinical practice guidelines and expert knowledge.
  • Emphasis on early recognition and diagnosis.
  • Application of evidence-based treatment protocols.

Main Results:

  • Expert nurses are pivotal in managing DKA and HHS.
  • Multifactorial etiology necessitates a high index of suspicion.
  • Effective management requires prompt, evidence-based interventions.

Conclusions:

  • Comprehensive patient care includes awareness, treatment, and tertiary prevention.
  • Proactive management by nurses can reduce recurrent hyperglycemic emergencies.