Identification of adverse events related the insulino therapy in patients of vascular surgery

Abstract

Insulins are among the drugs with more records of adverse events resulting from medication errors. Within this context, this study aimed to identify failures related to insulin in diabetic patients. The study was conducted at the Vascular Surgery Clinic of a large hospital and classified as exploratory, descriptive and prospective. The sample consisted of 39 diabetic patients admitted in that clinic, both genders, all ages and risk factors. Data were collected using a form as an instrument designed to focus on the identification of adverse events related to insulin. The basis for consultation referred to the medical records and the results were represented through graphs and tables. The profile of patients, 69% were elderly (mean 65 years) and 14% of records were no reports of chronic renal failure. Regarding the prescription of drugs with potential interaction with insulin in 86% of cases contained up to four drugs prescribed simultaneously. Regarding the occurrence of adverse events involving hypoglycemia, it was observed that 26% of capillary blood glucose readings marked such an event, and that in none of these cases were reported to reverse the correction. For events of hyperglycemia, it was found 882 instances where 85.1% of these were not corrected with fast-acting insulin therapy. Considering the results obtained, we concluded that it was possible to identify the occurrence of adverse events involving insulin therapy in these patients. Thus, it is essential pharmacotherapeutic monitoring, and the pharmacist can contribute to the improvement of care through the management of risk, based on the principles of pharmacovigilance.