Luana Souza da Silva, Isabel CF da Cruz


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.


Nursing, Blood Glucose, Intensive Care Units.

Full Text:



Chianca TCM, Lima APS, Salgado PO. Diagnósticos de enfermagem identificados em pacientes internados em Unidade de Terapia Intensiva Adulto. Rev. esc. enferm. USP [serial on the Internet]. 2012 Oct [cited 2014 Sep 28] ; 46( 5 ): 1102-1108. Available from:

Grossi SAA, Lottenberg AS, Lottenberg AM,Manna TD, Kuperman H. Monitoração domiciliar da glicemia em pacientes com Diabetes Mellitus do tipo 1. Rev Lat Am Enfermagem. 2009;17(2).

Marinho NBP, Vasconcelos HCA, Alencar AMPG, Almeida PC, Damasceno MMC. Risco para diabetes mellitus tipo 2 e fatores associados. Acta paul. enferm. [serial on the Internet]. 2013 Dec [cited 2014 Sep 28] ; 26( 6 ): 569-574. Available from:

North American Nursing Diagnosis Association. Diagnósticos de Enfermagem da NANDA: definições e classificação 2012-2014. Porto Alegre (RS): Artmed; 2012.

Garcia PC, Fugulin FMT. Tempo de assistência de enfermagem em unidade de terapia intensiva adulto e indicadores de qualidade assistencial: análise correlacional. Rev Lat Am Enfermagem. 2012;20(4).

Sauer P, Elizabeth R, Van HORN. Impact of intravenous insulin protocols on hypoglycemia, patient safety, and nursing workload. Dimens Crit Care Nurs.2009;28(3):95-101.

Corbin AE, Carmical D, Goetz JA, Gadomski VO, Knochelmann C, Whitmer K et al. One institution's experience in implementing protocols for glycemic management. Dimens Crit Care Nurs. 2010; 29(4):167-172.

Gomes RKG, Lopes MVO. Diagnósticos de enfermería en individuos ingresados en unidad de cuidados intensivos. Avances en Enfermería. 2013 jul-dic, 31(2). En: Consultado el 13 de Octubre de 2014.

Galiano MAG, Calvo MAS, Feito TMA, Waleska ABM, Leiva MS, Mujica PB. CONDICIÓN DE SALUD Y CUMPLIMIENTO DE LA GUÍA CLÍNICA CHILENA PARA EL CUIDADO DEL PACIENTE DIABÉTICO TIPO 2. Cienc. Enferm. [revista en la Internet]. 2012 [citado 2014 Oct 13]; 18(3): 49-59. Disponible en:

López MOM, Pinzón ADD, González EB, Martínez EDP. Percepción de salud y su efecto en pacientes con diabetes. Avances en Enfermería. 2009 jul-dic, 27(2). En: Consultado el 13 de Octubre de 2014.

Galiano MAG, Calvo MAS, Feito TMA, Waleska ABM, Leiva MS, Mujica PB. CONDICIÓN DE SALUD DE PACIENTES DIABÉTICOS Y SU SATISFACCIÓN CON EL TRATAMIENTO PARA LA ENFERMEDAD. Cienc. enferm. [revista en la Internet]. 2013 [citado 2014 Oct 13] ; 19( 2 ): 57-66. Disponible en:

The Joanna Briggs Institute. Clinical practice manuals literaturereview. Nasogastric tube insertion [Internet]. [cited 2014 Oct18]. Available from: .

Bulechek GM, Butcher HK, Docthterman JM. Classificação das intervenções de enfermagem (NIC). S ed. Rio de Janeiro: Elsevier, 2010.

Share |