Episode 36- Do we have to correct hyperglycemia in the ER?

12/17/20 • 7 min

Is routine correction of hyperglycemia in the ER necessary? And if so, which agents and routes are recommended? Find out this week!
References:
Driver BE, Olives TD, Bischof, JE, et al. Discharge glucose is not associated with short-term adverse outcomes in emergency department patients with moderate to severe hyperglycemia. Ann Emerg Med. 2016; 68 (6): 697- 705

Munoz C, Villanueva G, Fogg L, et al. Impact of a subcutaneous insulin protocol in the emergency department: rush emergency department hyperglycemia intervention (REDHI). J of Emerg Med. 2008; 40 (5): 493-498.

Koscal LJ, Weeda ER, Matuskowitz AJ, Weant KA. Intravenous insulin for the management of non-emergent hyperglycemia in the emergency department. Am J Emerg Med. 2020
Disclaimer:
The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users are to use caution, seek medical advice from a licensed physician, and consult available resources prior to any medical decision making. The contributors of the ER-Rx podcast are not affiliated with, nor do they speak on behalf of, any medical institutions, educational facilities, or other healthcare programs.

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Disclaimer:

The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users are to use caution, seek medical advice from a licensed physician, and consult available resources prior to any medical decision making. The contributors of the ER-Rx podcast are not affiliated with, nor do they speak on behalf of, any medical institutions, educational facilities, or other healthcare programs.

12/17/20 • 7 min

ER-Rx: An ER + ICU Podcast - Episode 36- Do we have to correct hyperglycemia in the ER?

Transcript

Hello and welcome to Episode 36 of ER-Rx. Today, we’re going to talk a little bit about glucose levels and the need to aggressively lower them in patients who are not in diabetic emergencies. We’ll also look at a potential tool that can help you decide what dose of insulin to give, and we’ll wrap up by talking about SQ versus IV administration of insulin and some pharmacokinetic data.
We’ve all seen the patient in the ER who happens to have elevated glucose levels. Now obviously if

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