3 am call: Mrs X has a blood sugar of 23. Come and deal with it.I think my insulin pen is called something like Solostar.The respiratory doctors started high dose prednisolone, and the patient s glucose is 18. What is the blood glucose target for this patient admitted with an acute coronary syndrome?Do you struggle with common diabetes problems in hospital practice?The Hands–on Guide to Diabetes Care in Hospital is an ideal companion for ward practitioners, providing answers to these and many other practical diabetes problems, helping you to deliver safe and effective care to patients.Using the best current UK and international guidance, The Hands–on Guide to Diabetes Care in Hospital presents succinct guidance on acute diabetes problems, blood glucose management, acute medical and surgical problems commonly complicated by diabetes and insulin and non–insulin agents, as well as preparing for discharge to the community. With top tips, key points, questions to ask, treatment and follow–up advice in each chapter, this is an essential resource for all medical trainees and students who treat diabetic patients. Ward–based nurses, diabetes specialist nurses and pharmacists will also find a lot that is relevant to their practice. INDICE: Preface .Abbreviations .Part 1 Basics .1 Classification of diabetes .2 Targets for glycaemic control in hospital .3 Diagnosis of diabetes in hospitalised patients .4 Nomenclature .5 Outline of physiology .6 Diabetes specialist nurses: roles and responsibilities .Part 2 Acute diabetes problems .7 History taking in patients with diabetes .8 Assessment and initial management of patients presenting with high blood glucose levels to an emergency department .9 Diabetic ketoacidosis (DKA) .10 Hyperosmolar hyperglycaemic state (HHS) .11 Managing acute hypoglycaemia in the emergency department .Part 3 Acute medical and surgical problems commonly complicated by diabetes .12 Presentation of cardiac disease in diabetic patients .13 Acute coronary syndromes and stroke .14 Secondary prevention after ACS .15 Acute pancreatitis .16 Infections in diabetes .Part 4 Insulin and non–insulin agents .17 Variable rate intravenous insulin infusion (VRIII, sliding scale UK; insulin drip USA) .18 Converting from VRIII to subcutaneous insulin .19 Writing safe insulin prescriptions .20 Insulin preparations in the UK .21 Commonly used insulin regimens .22 Emergency subcutaneous insulin regimens .23 Insulin substitutions in emergency settings .24 Non–insulin agents .Part 5 Blood glucose management on the wards .25 Managing patients you are asked to see with high blood glucose levels .26 Managing acute hypoglycaemia on the wards .27 Perioperative management of elective surgery .28 Enteral feeding .29 Glucocorticoid treatment .30 Safe discharge of diabetic patients from hospital .Part 6 Important odds and ends .31 Technology in diabetes .32 Inpatient screening schedule .33 Practical procedures .34 On–call guide to hyperglycaemic emergencies .Index
- ISBN: 978-1-118-97349-3
- Editorial: Wiley–Blackwell
- Encuadernacion: Rústica
- Páginas: 176
- Fecha Publicación: 18/12/2015
- Nº Volúmenes: 1
- Idioma: Inglés