Remember that Patients with Insulin Deficiency Require Basal Insulin Even When They Are Nil Per Os Kathleen A. Williams RN, MSN CRNP Sherita Hill Golden MD, MHS Maintaining euglycemia (defined…
Do not use Insulin Glargine in the Intensive Care Unit Without Also Giving A Shorter-Acting Insulin Form Kristin Shipman MD Heidi L. Frankel MD Lantus is a long-acting insulin analogue…
Do not use Subcutaneous Insulin in the Intensive Care Unit Population Kristin Shipman MD Heidi L. Frankel MD Regular insulin should be administered intravenously and not subcutaneously in the intensive…
Maintain Tight Glucose Control in the Intensive Care Unit Michael J. Moritz MD Hyperglycemia and insulin resistance are common in critically ill patients even if they did not have diabetes…
Consider use of Enoxaparin over Unfractionated Heparin in Trauma Patients Suneel Khetarpal MD Barbara Haas MD Trauma patients are at high risk of deep venous thromboembolism, with the majority of…
Do not use Erythromycin as a Prokinetic Agent in Patients on Tacrolimus (Or Cyclosporine) Matthew J. Weiss MD Erythromycin is a macrolide antibiotic that inhibits bacterial protein synthesis and is…
Beware of Metabolites Bradford D. Winters MD, PHD Many drugs are metabolized to active metabolites. This is usually carried out by the liver in the form of reductions, oxidations, and…
Use Prophylaxis for Erosive Gastritis in the Appropriate Patient Rachel Bluebond-Langner MD Gastrointestinal (GI) prophylaxis in the intensive care unit (ICU) is important in the prevention of stress gastritis. The…
Strongly Consider Starting an Angiotensin-Converting Enzyme Inhibitor or Angiotensin Receptor Blocker after Myocardial Infarction Ying Wei Lum MD The renin-angiotensin-aldosterone system (RAAS) regulates aldosterone release in the body via the…
Be Aggressive in Considering Reperfusion Therapy in Acute Myocardial Infarction Anthony D. Slonim MD, DrPH Cardiovascular disease is a dominant cause of morbidity and mortality in the United States and…
