Hyperglycemia in the hospital setting is a strong predictor of adverse outcomes, including infection and mortality. These flashcards are designed to help pharmacists and healthcare professionals quickly recall the 2018 Clinical Practice Guidelines recommendations for insulin regimens, glucose targets, and perioperative care, facilitating a shift away from reactive “sliding scale” management.
Key Topics Covered:
- Glycemic Targets: Memorizing the specific glucose ranges for critically ill (6.0–10.0 mmol/L) versus non-critically ill patients (preprandial 5.0–8.0 mmol/L).
- Insulin Regimens: Understanding the superiority of scheduled basal-bolus-correction insulin over correction-only (sliding scale) therapy for maintaining stability.
- Monitoring Protocols: Reviewing the required frequency of blood glucose checks for patients on oral intake (pre-meal) vs. NPO or IV insulin (every 1–2 hours).
- Perioperative Care: Identifying targets (5.5–10.0 mmol/L) and strategies to optimize glycemic control before and during surgery.
- Discharge Planning: Recalling the essential components of a safe discharge plan, including medication reconciliation and sick-day education.