Post-Stroke Care, Hyperglycemia and Episode 163




Nursing Show Podcast show

Summary: Welcome to Episode 163 of the Nursing Show The Nursing Show is a proud member of the ProMed Podcast Network (http://promednetwork.com/). Subscribe to the Podcast MP3 Audio Version (http://mediccast.com/images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/nursing-show-online-radio/id271728764#) | (http://mediccast.com/images/SubscribeZune.png)Zune (zune://subscribe/?Nursing%20Show=http://www.nursingshow.com/feed/podcast/) | (http://mediccast.com/images/SubscribeRSS.png)Podcast (http://www.nursingshow.com/feed/podcast/) | (http://mediccast.com/images/SubscribeRSS.png)Blog (http://nursingshow.com/feed/) —- Subscribe to the Podcast Studio Video Version (http://mediccast.com/images/SubscribeItunes.png)iTunes (http://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?id=386460885#) | (http://mediccast.com/images/SubscribeZune.png)Zune (zune://subscribe/?Nursing%20Show=http://www.nursingshow.com/feed/studio_video/) | (http://mediccast.com/images/SubscribeRSS.png)Podcast (http://www.nursingshow.com/feed/studio_video/) | (http://mediccast.com/images/SubscribeRSS.png)Blog (http://nursingshow.com/feed/) ———————————– News---- Influenza Cases Increasing in Iowa (http://www.chicagotribune.com/news/who-story-flu-hospitalizations-up-010811,0,2952806.story) Why IT Nursing is a Good Investment (http://www.bnet.com/blog/healthcare-business/why-federal-for-nursing-care-it-would-be-a-good-investment/2327) Risk of Splitting Pills (http://www.webmd.com/news/20110107/splitting-pills-may-have-risks?src=RSS_PUBLIC) -------------------- Tip This Week- Post-Stroke Care & Hyperglycemia The incidence of post-stroke stress hyperglycemia is causing many care providers to very carefully manage the blood glucose levels in these critical patients.  Studies have shown increased infarction growth and poorer outcomes for patients with post stroke hyperglycemia that for those with normal blood sugar levels. This should not be a surprise to anyone when you look at the physiology associated with the body's stress reaction (sympathetic nervous system). However, while you need more blood sugar in your system when preparing to run from a tiger, the evolutionary reason for the response, this doesn't translate when talking about attacks on the brain associated with either ischemic or hemorrhagic strokes. High blood sugar encourages metabolic acidosis and may facilitate broader cell lysis during times of injury. Additionally, alterations in blood chemistry may hinder clotting during hemorrhagic strokes (yet to be studied and reviewed but certainly valid based on understandings about physiology). Check out the additional stroke resources you'll find below. NIH Stroke Resources for Health Professionals (http://stroke.nih.gov/resources/) AHA Journal: Hyperglycemia in Acute Stroke (http://stroke.ahajournals.org/cgi/content/full/35/2/363) AHA Journal: Stress Hyperglycemia and Stroke Prognosis (http://stroke.ahajournals.org/cgi/reprint/32/10/2426) --------- Sponsors Thanks to bandwidth sponsor AllNurses.com, the Largest online community for nurses (http://allnurses.com/?utm_source=nursingshow_com&utm_medium=text&utm_campaign=nursingshow_video). Continue the discussions there! and NursingTopStudent.com (http://nursingtopstudent.com/) all of the tools student nurses need for less than $1 a day. Audio and video study aids plus a whole lot more! More than 200 files and counting! Join Us Now (http://nursingtopstudent.com/)! -------------------------- Don’t miss an episode! You can receive the Nursing Show Newsletter (http://www.nursingshow.com/blog) in your email inbox. NursingShow@gmail.com (mailto:nursingshow@gmail.com) Other Podcasts from Jamie Davis: * The MedicCast (http://mediccast.com/blog) (for EMTs, Paramedics, EMS field work) * MedicCast News (http://mediccastnews.com/) (Weekly short medical news program) * MedicCast Live (http://mediccastlive.com/) (Monthly live call-in show with a single EMS topic) ————————————