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Glycemic level check performed by a nurse in critically sick people in intensive care
Vaňková, Daniela ; Heczková, Jana (advisor) ; Lišková, Iveta (referee)
This thesis deals with the control of blood glucose levels of critically ill patients in intensive care, focusing on hyperglycemia of the critically ill and possible therapy within the competences of nursing and medical staff. The theoretical part of the thesis deals with the issue of hyperglycemia of critically ill patients from the medical and nursing perspective as well as the issues concerning instrumentation. The first chapter describes briefly the history of insulin, relating to its discovery and introduction into practice. The following chapter describes the concepts of critically ill, intensive medicine, intensive care as well as specific nursing care. Short information about etiology, diagnosis, treatment and complications of diabetes mellitus is described in the third chapter. The following are the chapters, which are more specifically devoted to the issue of hyperglycemia of the critically ill, including chapters on glucose homeostasis of the critically ill, the evolution of blood glucose levels, instrument technique, insulin protocols, insulin therapy, details of insulin therapy in intensive care and on the principles of correct blood collection for the determination of blood glucose levels in the conditions of intensive care. The empirical part of this work contains research on the...
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Application of insulin in the regulation of blood glucose levels within the therapy in critically ill patients
Beil, Kamil ; Hronek, Miloslav (advisor) ; Havel, Eduard (referee)
This thesis presents and compares the results of clinical trials found during intensive insulin therapy (IIT) in critically ill patients (CIP) hospitalized in intensive care units (ICU). The aim of this thesis was to search usage processing and the importance applications of insulin in the treatment of critically ill patients in intensive care units. It explains principles and issues of insulin use in this indication with presentation of IIT risks. Clinical studies were carried out in the ICU with a different focus (medical, surgical, cardiac surgery, mixed etc.). In most studies, patients were randomized into two groups - group IIT maintained glycemic range from 80 to 110 mg / dl, i.e. from 4,4 to 6,1 mmol / l; group of conventional insulin therapy should range glycemia from 180 to 200 mg / dl, i.e. from 10,0 to 11,1 mmol / l. In most studies, it has been shown to reduce complications and mortality in patients treated with IIT compared to patients treated with conventional insulin therapy. Less strict insulin therapy was able partially leave IIT advantage and reduce the risk of hypoglycemia. On the other hand, although IIT increased risk of hypoglycemia, did not increase mortality. Explaining the observed differences in mortality and morbidity among studies appear to be obviously differences in...
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Glycemic level check performed by a nurse in critically sick people in intensive care
Vaňková, Daniela ; Heczková, Jana (advisor) ; Lišková, Iveta (referee)
This thesis deals with the control of blood glucose levels of critically ill patients in intensive care, focusing on hyperglycemia of the critically ill and possible therapy within the competences of nursing and medical staff. The theoretical part of the thesis deals with the issue of hyperglycemia of critically ill patients from the medical and nursing perspective as well as the issues concerning instrumentation. The first chapter describes briefly the history of insulin, relating to its discovery and introduction into practice. The following chapter describes the concepts of critically ill, intensive medicine, intensive care as well as specific nursing care. Short information about etiology, diagnosis, treatment and complications of diabetes mellitus is described in the third chapter. The following are the chapters, which are more specifically devoted to the issue of hyperglycemia of the critically ill, including chapters on glucose homeostasis of the critically ill, the evolution of blood glucose levels, instrument technique, insulin protocols, insulin therapy, details of insulin therapy in intensive care and on the principles of correct blood collection for the determination of blood glucose levels in the conditions of intensive care. The empirical part of this work contains research on the...
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