Serum Glucose Testing in the OR.

[GmanRN]

Is there a different perspective in Glucose testing in the OR? Is it done frequently during procedures? How about other electrolytes? How often are you guys checking things?

Thanks,

G

[nurseabc123]

I can say I've only seen a couple open hearts come out on insulin drips. Post-operatively we are very aggressive with tight glucose control with a goal less than 140 for at least the first 48 hours, as I can't speak to how tight control is on the floors.

I really can't speak to the why's of the -ologists in the CVOR and why they are behind the times. The surgeons and clinical educators are aware and are working on it, but have yet to see any results.

Hmm... all of our hearts come out on insulin gtts. We follow a tight glycemic control protocol starting in the OR all the way to the med-surg unit.