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Current Medical Nutrition Therapy Recommendations for the Person with Diabetes.
IF 1.4 4区 医学 Q3 NURSING
Critical Care Nursing Clinics of North America
Pub Date : 2025-03-01 Epub Date: 2024-11-08 DOI: 10.1016/j.cnc.2024.09.002
Celia Ann Levesque

This article will discuss the current medical nutrition therapy (MNT) recommendations for non-hospitalized people with diabetes based on published standards, general principles for healthy meal planning, common dietary methods used with people with diabetes, and matching the prandial insulin dose to food(s) consumed. This article will also discuss MNT for hospitalized patients with diabetes including assessing for malnutrition and identifying contributing factors for the development of malnutrition. Common dietary methods used in the hospital setting will be discussed, as well as the current recommendations for managing diabetes in patients on clear liquid diets, enteral nutrition, and parenteral nutrition.

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引用次数: 0
Diabetes Management in the Critical Care Setting: Insulin Infusions.
IF 1.4 4区 医学 Q3 NURSING
Critical Care Nursing Clinics of North America
Pub Date : 2025-03-01 Epub Date: 2024-12-17 DOI: 10.1016/j.cnc.2024.08.007
Marjorie R Ortiz

Hyperglycemia is common in critically ill patients. Due to the complex medical issues of critically ill patients, continuous insulin infusions are often used to treat hyperglycemia in the ICU. This article discusses the benefits and risks of continuous insulin infusions, components of insulin infusion protocols, nursing management while administering insulin infusions, and proper transition off an insulin infusion.

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引用次数: 0
Current Recommendations for Insulin Therapy in the Hospitalized Patient.
IF 1.4 4区 医学 Q3 NURSING
Critical Care Nursing Clinics of North America
Pub Date : 2025-03-01 Epub Date: 2024-12-20 DOI: 10.1016/j.cnc.2024.05.004
Charmaine D Rochester-Eyeguokan, Kathleen J Pincus

Dysglycemia increases morbidity and mortality in hospitalized patients. Insulin is recommended to manage blood glucose levels greater than or equal to 180 mg/dL. Establishing comprehensive protocols for dysglycemia management in all departments ensures consistent, evidence-based patient care. Basal, prandial, and correction dosing are the best methods for insulin administration. For patients on total parenteral nutrition (TPN) with hyperglycemia, add regular human insulin to the TPN. Corticosteroids can cause hyperglycemia and can be managed with neutral protamine hagedorn insulin. Pay special attention to the resumption of the patient's diet and oral medications during transitions of care and before discharge.

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引用次数: 0
Using Diabetes Technology in Hospitalized Patients.
IF 1.4 4区 医学 Q3 NURSING
Critical Care Nursing Clinics of North America
Pub Date : 2025-03-01 Epub Date: 2024-12-20 DOI: 10.1016/j.cnc.2024.07.001
Deborah L McCrea

There is an estimated 350,000 persons wearing an insulin pump and 2.4 million wearing a continuous glucose monitor (CGM) sensor in the United States. The last few decades have ushered in advancements with the integration of insulin delivery and continuous glucose evaluations which offer a more precise tight insulin delivery and glycemic control. However, when hospital admissions are necessary, most desire to continue to wear their devices. The last several decades and during the pandemic, many agencies such as the Joint Commission, FDA, and diabetes organizations have generated position statements and guidelines to allow the most optimal diabetes treatment, even when hospitalized.

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引用次数: 0
Copyright 版权
IF 1.4 4区 医学 Q3 NURSING
Critical Care Nursing Clinics of North America
Pub Date : 2024-10-25 DOI: 10.1016/S0899-5885(24)00065-0
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引用次数: 0
Forthcoming Issues 即将出版的期刊
IF 1.4 4区 医学 Q3 NURSING
Critical Care Nursing Clinics of North America
Pub Date : 2024-10-25 DOI: 10.1016/S0899-5885(24)00068-6
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引用次数: 0
Pain Management 疼痛管理
IF 1.4 4区 医学 Q3 NURSING
Critical Care Nursing Clinics of North America
Pub Date : 2024-10-25 DOI: 10.1016/S0899-5885(24)00064-9
Lynn C. Parsons (Editor)
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引用次数: 0
Contributors 贡献者
IF 1.4 4区 医学 Q3 NURSING
Critical Care Nursing Clinics of North America
Pub Date : 2024-10-25 DOI: 10.1016/S0899-5885(24)00066-2
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引用次数: 0
Orthopedic Pain Management 骨科疼痛管理
IF 1.4 4区 医学 Q3 NURSING
Critical Care Nursing Clinics of North America
Pub Date : 2024-09-10 DOI: 10.1016/j.cnc.2024.05.002
Lynn C. Parsons PhD, RN, NEA-BC
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引用次数: 0
Navigating Pediatric Pain 儿科疼痛导航
IF 1.4 4区 医学 Q3 NURSING
Critical Care Nursing Clinics of North America
Pub Date : 2024-09-10 DOI: 10.1016/j.cnc.2024.04.004
Debra Sullivan PhD, MSN, RN, CNE, COI, Christine Frazer PhD, CNS, CNE
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引用次数: 0
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