[CoolhandHutch]

About half our patients are on an insulin drip post op. Glucose with every blood draw or Q hour.

We are adopting some study (Yale University) that finds better outcomes for patients that have controlled blood glucose; in fact, almost ALL of our patients will be on an insuling drip to titrate sugars to around 70 (I think that was the level- is was far below 100). Just add another drip to the pole, we'll manage

[nurse04girl]

We use a hyperglycemic protocol for ICU patients. Fingersticks, coverage, and drip, so on..

[huadring]

I haven't been in the game long, but when a student on the West Coast, I got used to seeing dopamine, dobut, propofol. Now on the East side, I almost primarily see Neo, Vaso, Epi, Milrinone, and Cardene. We start insulin and dex soon after arrival. We have a insulin drip protocol which after 3 q1 hour checks we check q2hours while they are on the drip to maintain glucose 80-110. Tight control as the key. The pt may get to go to Q4 if they have a normal level 4 times in a row, but this is pretty rare. Usually don't get off the drip until they leave our unit.