Of note, the presence of hyperglycemia in patient without diabetes is one of the markers for the presence of infection (2001 Levy, 2012 SSC guidelines).
Mechanistically, it may represent higher stress environment and thus more severe sepsis to elevate blood glucose in non-diabetics than it does in diabetics. Ryan Arnold, MD Christiana Care Health System Newark, DE On Mar 21, 2014, at 9:38 AM, Mary Draper <[email protected]> wrote: > We do check BG and follow BG values in all our sepsis patients and do not > just focus on known diabetic patients. > >> Mary Draper RN BSN CCRN >> Quality Manager-Best Practice Support >> Quality Management Supervisor >> Office (925) 674-2045 >> Cell (925) 451-8792 >> Fax (925) 674-2373 >> [email protected] > > > On Mar 21, 2014, at 5:48 AM, "Brochis, Dale." <[email protected]> wrote: > >> It would be interesting to look at these hypoglycemic patients for common >> characteristics, history, sources of sepsis, severity of illness upon >> presentation, and medication regimen. >> >> >> >> Dale Brochis >> Gainsharing Project Coordinator >> Case Management Department >> Robert Wood Johnson University Hospital at Rahway >> 865 Stone Street >> Rahway, NJ 07065 >> >> 732-499-6217 Office / 732-428-2108 Cell >> [email protected] >> >> >> >> From: [email protected] >> [mailto:[email protected]] On Behalf Of Mary Draper >> Sent: Thursday, March 20, 2014 5:33 PM >> To: [email protected] >> Cc: [email protected] >> Subject: Re: [Sepsis Groups] Hypoglycemia >> >> Interesting, we have not found hypoglycemia in our severe sepsis patient >> population. >> >> >> Mary Draper RN BSN CCRN >> Quality Manager-Best Practice Support >> Quality Management Supervisor >> Office (925) 674-2045 >> Cell (925) 451-8792 >> Fax (925) 674-2373 >> [email protected] >> >> On Mar 20, 2014, at 12:10 PM, "[email protected]" >> <[email protected]> wrote: >> >> In a recent review of some of our sepsis records, we found a group of >> patients who had profoundly low blood sugars (11-40). I don’t hear much >> about hypoglycemia in Sepsis as much as hyperglycemia. We are curious how >> other hospitals are looking at this and what the plan of care is when this >> occurs. Is it part of your sepsis bundles to check blood sugars? Only in >> diabetics? How do you treat and follow up?? Thanks in advance, >> >> Susan McKinney, RN >> Susan McKinney >> Clinical Quality Coordinator- >> -Sepsis-VTE >> Clinical Effectiveness Team >> [email protected] >> 605-484-7381 Cell >> 605-755-4428-please note new number >> >> Regional Health's mission is to provide and support health care excellence >> in partnership with the communities we serve. >> >> Note: The information contained in this message, including any attachments, >> may be privileged, confidential, or protected from disclosure under state or >> federal laws . If the reader of this message is not the intended recipient, >> or an employee or agent responsible for delivering this message to the >> intended recipient, you are hereby notified that any dissemination, >> distribution, or copying of this communication is strictly prohibited. If >> you have received this communication in error, please notify the Sender >> immediately by a "reply to sender only" message and destroy all electronic >> or paper copies of the communication, including any attachments. >> _______________________________________________ >> Sepsisgroups mailing list >> [email protected] >> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org >> >> This e-mail and any files transmitted with it are confidential and are >> intended solely for the use of the individual or entity to whom they are >> addressed. This communication represents the originator's personal views and >> opinions, which do not necessarily reflect those of Robert Wood Johnson >> University Hospital Rahway. If you are not the original recipient or the >> person responsible for delivering the e-mail to the intended recipient, be >> advised that you have received this e-mail in error, and that any use, >> dissemination, forwarding, printing, or copying of this e-mail is strictly >> prohibited. If you receive this email in error, please immediately notify >> [email protected]. > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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