A 56-year-old nondiabetic patient is undergoing orthopedic surgery. The perioperative nurse is monitoring the blood glucose level. What is the main rationale for monitoring his blood glucose level during surgery?
a. She does not want the patient to develop an embolism.
b. Research shows a strong relationship between wound infections and hyperglycemia.
c. She knows that normal glucose levels promote platelet production.
d. She is monitoring to prevent embolism.
B
Evidence has shown that there is a relationship between wound and tissue infection and blood glucose levels. Poor control of blood glucose levels (specifically hyperglycemia) during and after surgery increases the risk for wound infection and patient mortality in certain types of surgery. PT and APTT blood tests are monitored to prevent embolism. Perioperative nurses work with their medical colleagues to maintain normal glucose levels in the postoperative period to reduce the risk for wound and tissue infection.
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