Term
| Self-Monitoring of Blood Glucose (SMBG) |
|
Definition
| Cornerstone of diabetes management |
|
|
Term
|
Definition
| Obtain drop of blood from the fingertip. |
|
|
Term
|
Definition
| Obtain drop of blood from forearm. |
|
|
Term
|
Definition
1. Improper application of blood
2. Improper meter cleaning and maintenance
3. Damage to reagent strips by heat or humidity
4. Use of outdated strips |
|
|
Term
| Values for normal blood glucose |
|
Definition
| Between 70-100 [text says 70-110] |
|
|
Term
| Alternate methods to test Glucose |
|
Definition
Visual Method
Urine glucose testing |
|
|
Term
| Disadvantages to Urine Glucose Testing |
|
Definition
1. Doesn't accurately reflect blood glucose level
2. Renal threshold for glucose is 180-200 mg/dL
3. Hypoglycemia can't be detected
4. Various drugs interfere with results |
|
|
Term
Checking Blood Glucose?
Don't forget: |
|
Definition
1. Universal precautions
2. Wash client's hands with warm water and soap (NOT alcohol)
3. Prick OUTER edge of finger, NOT the tip
4. Touch reagent pad to finger only ONCE
5. Keep record or log |
|
|
Term
| Another term for touching the reagent pad to the finger more than once. |
|
Definition
|
|
Term
Frequency of SMBG
Clients receiving insulin |
|
Definition
|
|
Term
Frequency of SMBG
Clients NOT receiving insulin |
|
Definition
|
|
Term
Frequency of SMBG
Always test when this occurs |
|
Definition
| Hypoglycemia or hyperglycemia is suspected. |
|
|
Term
|
Definition
| Abnormally low glucose levels, usually less than 60 mg/dL |
|
|
Term
| Presbyterian Hospital protocol for hypoglycemia |
|
Definition
|
|
Term
|
Definition
1. Too much insulin or oral hypoglycemic meds
2. Too little food or delayed meal
3. Excessive physical activity |
|
|
Term
| Mild Hypoglycemia Symptoms |
|
Definition
HuTTS
Hu - Hunger
T - Tachycardia, palpitations
T - Tremors
S - Sweating |
|
|
Term
| Moderate Hypoglycemia Symptoms |
|
Definition
B CHILLS
B - Blurred vision
C - Confusion
H - Heachaches
I - Impaired coordination
L - Lightheadedness
L - Lips/tongue numbness
S - Slurred speech |
|
|
Term
| Severe Hypoglycemia Symptoms |
|
Definition
ABCS
A - Arousing is difficult
B - Behavior is disoriented
C - Coma and death
S - Seizures |
|
|
Term
| Treatment for Hypoglycemia |
|
Definition
1. Assess patient
2. Check glucose with meter
3. IF LOW administer 15 grams of fast-acting carbohydrate
4. Retest glucose in 15 minutes
5. If less than 70-75, repeat administration of CHO
6. Administer snack with protein and starch or eat regular meal. |
|
|
Term
| Options of Fast-Acting Carbohydrates |
|
Definition
3 Glucose tablets
Peanut butter and graham crackers
Turkey sandwich
Glucose gel if patient cannot chew
D50W - IV
(PP also included: 4 oz. fruit juice of soda; 1 cup skim milk, 1 Tbsp. honey or sugar) |
|
|
Term
| How to administer glucose gel: |
|
Definition
| Insert into the buccal area or under the tongue to a patient who cannot chew or is in a coma. |
|
|
