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A Nurse Managed Computerized Program For Continuous Iv Insulin Infusion:jiip(jefferson Insulin Infusion Protocol) And Non Jiip.

Requirements: RN will review the PowerPoint presentation. RN will practice titration guidelines on practice pathway on computer. RN will complete program quiz with a grade of 100%. Unit CNS will review quiz results with staff member. Introduction Uncontrolled hyperglycemia in hospitalized patients results in poor clinical outcomes. IV insulin is the drug of choice for optimal glycemic management in many patients. Safe administration of IV insulin is a complex task. The Jefferson Hospital Insulin Infusion Protocol(JIIP) applies to all adult patients requiring IV insulin but ONLY if the JIIP is ordered. General Guidelines Physicians who do not order the JIIP but want continuous IV insulin infusion (NON-JIIP) for their patients, are responsible for the hourly titration of the infusion and specific fluid orders. The RN may titrate a non –JIIP infusion based on previous infusion guidelines online but only if the glucose and piggyback protocol is followed. JIIP Candidates ICU patients with BG>180mg/dl x 2 consecutive measurements. NOTE: Check Blood glucose (BG) on admission to ICU and q4 hours thereafter. If BG <140mg/dl for first 24 hours, measure BG daily or as clinically indica Continue reading >>

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  1. RedhairedNurse

    Your nursing text should point out the difference. I would tell you, but I'd just have to look it up and my books are in storage. I could also google it, but something you can also do as well. Sorry.

  2. RedhairedNurse

    http://books.google.com/books?id=aLt...um=9&ct=result

  3. Ilithya

    In HHNS, blood sugar levels rise, and your body tries to get rid of the excess sugar by passing it into your urine, your body tries to compensate. This usually happens to type 2s
    In DKA there is little to no circulating insulin. DKA occurs mainly, but not exclusively, in Type 1 diabetes because Type 1 diabetes is characterized by a lack of insulin production in the pancreas. It is much less common in Type 2 diabetes because the latter is closely related to cell insensitivity to insulin, not -- at least initially -- to a shortage or absence of insulin. Some Type 2 diabetics have lost their own insulin production and must take external insulin; they have some susceptibility to DKA. You get acidosis in DKA because ketones lower the bloods pH.
    Does that help?

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