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Examining IV Insulin Practice Guidelines in the Cardiac Surgery Patient

Nurses Evaluating Quality Outcomes

Westbrook, Amy MSN, CCNS-APN; Sherry, Daisy PhD, ACNP-BC; McDermott, Martha BSN, MEd, CDE, BC-ADM; Gobber, Michele MSN, SCRN, CNL; Pabst, Mary PhD, RN

doi: 10.1097/NCQ.0000000000000190

Recent changes in the Surgical Care Improvement Project guideline require blood glucose values be less than 180 mg/dL 18 to 24 hours after anesthesia end time after cardiac surgery. Our study compares the first group of patients transitioned off IV insulin on postoperative day 1, 24 hours after anesthesia end time, whereas the second group was transitioned off IV insulin on the second day, 48 hours after anesthesia end time. Results show no statistical difference in outcomes between groups.

Elmhurst Hospital, Elmhurst, Illinois (Mss Westbrook, McDermott, and Gobber); College of Nursing and Health Professions, Lewis University, Romeoville, Illinois (Dr Sherry); and Department of Nursing and Health Sciences, Elmhurst College, Elmhurst, Illinois (Dr Pabst).

Correspondence: Amy Westbrook, MSN, CCNS-APN, Clinical Nurse Specialist, Cardiovascular and Thoracic Surgery at Elmhurst Hospital, 155 E. Brush Hill Rd, Elmhurst, IL 60126 (


Special thanks to Deborah Steberg, DNP, RN.

The authors declare no conflicts of interest.

Accepted for publication: March 1, 2016

Published ahead of print: May 9, 2016

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