If your loved one has been diagnosed with diabetes, it is essential that they undergo diabetic monitoring during the ventilator weaning process. While glucose monitoring is routinely performed on all diabetic patients, it may be more acutely monitored when the ventilator-dependent patient is weaning off mechanical ventilation. Here are three reasons tight control over blood sugar levels are vitally important during the weaning process:
Increased Release Of Cortisol
While the nursing staff does everything they can to make the weaning process as stress-free as possible, the patient still may experience bouts of anxiety.
When people become anxious or fearful, increased amounts of circulating cortisol is released into the bloodstream. Because of this, blood glucose levels may rise, necessitating a dosage alteration in insulin or other anti-diabetes medication.
Alternations In Gaseous Exchange
During the ventilation weaning process, gaseous exchange patterns can be altered, which may cause blood sugar to either rise or dramatically decline. This fluctuation may either increase or decrease the patient’s need for anti-glycemic medication.
It is important to note, however, that not every ventilator-dependent patient will undergo these metabolic changes when weaning from mechanical ventilation, and some will not require changes in their medication protocol.
Changing Nutritional Needs
Ventilator-dependent patients typically receive their nutrients through nasogastric tubes, however, when they start breathing on their own once again, their nutritional requirements may change.
When this occurs, increased insulin may be needed to help keep blood sugar levels with normal limits and to prevent hypoglycemia or hyperglycemia.
To learn more about Fox Subacute and ventilator care, contact us anytime.