NURSING CARE PATIENT CRITICAL BLOOD GLUCOSE WITH UNSTABLE RISK RELATED TO INADEQUATE MONITORING: SYSTEMATIC LITERATURE REVIEW

Abstract

Diabetes mellitus is a major public health problem, and the micro- and macrovascular complications common squeal to long-term disease. It is important for nurses to maintain an adequate monitoring of blood glucose in critically ill patients, to prevent any unstable blood glucose risk of complications. The objective of this research is to identify the nursing scientific production, using the PICO strategy to find the best evidence available to prevent the risk of unstable blood glucose related to inadequate monitoring of blood glucose in patients in intensive care unit (ICU). Methodology: This study was performed using computerized literature search in a virtual environment, in the case of a systematic review of the literature. Were selected as the data source 10 articles in national and international nursing journals from 2009 to 2014 that met the inclusion criteria from the study. Responding to the clinical question: The best found nursing intervention is the nurse intensivist perform adequate monitoring of blood glucose every hour initially and after every 2 hours, assessing signs of hyperglycemia and hypoglycemia, facilitating therapeutic change, while within the customer in the intensive care unit (ICU). Conclusion: Therefore it is noteworthy that this study based on scientific evidence contributes to the work of nurses about the need to manage, guide, promote safe, effective and to facilitate nursing care, where the intensive care nurse should assess plan and execute a monitoring safe glycemic in the intensive care unit, promoting health and well-being of its customers.