ACS Stroke Sepsis

Early Goal-Directed Therapy (Sepsis) Program

Glucose Control

1. Utilize intravenous insulin to manage hyperglycemia in severe sepsis (1B).
2. Keep glucose <150 mg/dL using a validated insulin dose adjustment protocol (2C).
3. Provide a calorie and glucose source every 1-2 hours when unstable and every 4 hours when stable (1C).
4. Be cautious interpreting low glucose results from point of care testing since these tend to overestimate glucose levels (1B).

Select Abbreviations Antibiotics APACHE II Bicarbonate Therapy Diagnosis DVT Prophylaxis Fluid Therapy Glucose Control Inotropic Support Levels Of Evidence Mechanical Ventilation of ALI/ARDS References Renal Replacement Sedation and Analgesia Sepsis Criteria Sepsis Definitions Source ID and Control Steroids Stress Ulcer Prophylaxis Vasopressors Xigris Indications

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