相关实验视频
Updated: May 28, 2025

12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
18.6K
在儿科住院患者环境中对糖尿病技术的调查
Abby B Hamilton1, Nitya Rajagopal1, Chloe Ngo2
1OU-TU School of Community Medicine (ABH, NR), Tulsa, OK.
概括
医院需要在儿科护理中制定更好的糖尿病技术政策. 许多人缺乏连续血糖监测器 (CGM) 和胰岛素的指导方针,影响患者的安全和生活质量.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 医疗信息学 医疗信息学
- 医院管理局 医院管理局
背景情况:
- 糖尿病技术,包括胰岛素和持续血糖监测器 (CGM),显著提高了糖尿病儿童的生活质量.
- 越来越多地采用这些技术,需要明确的医院政策,以确保安全和有效的住院使用.
研究的目的:
- 为了评估医院政策的糖尿病技术在儿科住院患者设置的流行.
- 评估现有政策的内容,并确定需要改进的领域.
主要方法:
- 一个多学科团队开发了一项关于糖尿病技术使用和政策的调查.
- 该调查于2022年8月分发给儿童药房协会的药剂师.
- 描述性统计数据被用来分析当前的做法和政策.
主要成果:
- 55%的医院允许使用CGM,而77%的医院有政策;障碍包括缺乏政策,员工知识和EHR整合.
- 许多医院没有使用CGM报警器来报警葡萄糖水平 (59%).
- 94%的医院允许在政策中使用胰岛素,但只有不到一半的医院有针对位故障的具体方案 (46%),只有60%的医院验证了胰岛素剂量.
结论:
- 显著需要加强连续血糖监测仪和胰岛素的医院政策的存在和内容.
- 改善政策对于优化糖尿病技术在儿科住院护理中的使用至关重要.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.1K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.1K
Diabetes: Management and Pharmacotherapy
232
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
232
Diabetes Mellitus: Overview and Type I Subtype
2.4K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.4K
Insulin: Dosing Regimen and Adverse Effects
140
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
140
Diabetes: Symptoms, Diagnosis, and Complications
499
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
499
Pulse rhythm
754
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
754

