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Discussion

Is anyone using the Portland Protocol?

I work in CV-ICU, and we are in the process of changing our post-op open heart insuling protocol, using a modified Portland protocol, as our doc wants tighter glucose control.

I'm a little worried, as we will be getting fingerstick glucoses q 30 mins, and our goal will be to keep the glucose level 200, with q 1 hour accuchecks.)

If anyone can share any experience, I would appreciate it.

Thanks!:balloons:

Biba

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Not familiar with it. We do q1h checks and anything above 100 gets insulin and above 150 gets a drip.

Hi,

We use the modified Protland Protocol with q1hr glucometer readings. A gtt gets started for anyone with a glucometer greater than 150.

Our protocol is this:

Accucheck q1h: >150 X3 qtt started: >175 at any one time qtt started. Monitor BS q1h until 3 stable, then q2h. Unless S&S warrant another check.

Ours is also a little different. We can start the protocol for a bs > 130. our goal is a blood glucose that is under100, but when it is stable under that number we tend to dc it and put them on a sliding scale. Our usual checks are every hour unless it is

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