Examinando por Autor "Claros Quichiz, Stephany"

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    Effectiveness of glycemic control for the prevention of adverse events during the administration of insulin infusion in critical patients with hyperglycemia.
    (Universidad Privada Norbert Wiener, 2020-02-22) Claros Quichiz, Stephany; Basurto Santillán, Ivan Javier
    Objective: To systematize the studies investigated on the effectiveness of glycemic control for the prevention of adverse events during insulin infusion administration in critically ill patients with hyperglycemia. Material and method: A review of 10 articles on the effectiveness of glycemic control for the prevention of adverse events during insulin infusion administration in critically ill patients with hyperglycemia, found in the following databases: Medline, Cochrane, Lilacs, Medline, Scielo, and PubMed. These articles were analyzed using the GRADE scale to determine their quality and strength. Results: A total of 10 articles were analyzed, 90% (9/10) of which follow the methodological design of systematic reviews and meta-analyses, and 10% (1/10) follow the methodological design of a prospective observational study. 50% refer to hypoglycemic states, 30% indicate that hypoglycemia can be prevented with trained staff, 10% suggest that treatment should be based on physiological diversity, and 10% indicate improved prognosis with a risk of hypoglycemia. Conclusions: In 5 of the 10 articles on the effectiveness of glycemic control, it is indicated that the risk of hypoglycemia is present in most of the studies. In 3 of the 10 articles, nurses are urged to research, train, and adhere to protocols for managing hyperglycemia. In 1 of the 10 articles, it is indicated that glycemia improves if the patient is treated according to their physiological diversity. In 1 of the 10 articles, it is evidenced that prognosis improves but increases the risk of hypoglycemia.