Why is it important to monitor serum glucose?
Serum glucose levels may affect post-cardiac
arrest neurologic function. Animal studies have shown less functional brain
recovery after normothermic cerebral ischemia in hyperglycemic animals. The
mechanism prob-ably relates to increased lactic acid production secondary to
availability of larger amounts of the precursor, glucose. Unfortunately, it is
not clear what levels of glucose should be treated. Severe hypoglycemia as a
result of overtreatment of hyperglycemia will cause neuronal injury.
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