Adult non-pregnant Hypoglycemia (Tolerating PO)
When do you activate the hypoglycemia protocol
What is BG <70 mg/dL
What is the first step you take when the glucometer reads capillary blood glucose results <70 mg/dL
What is RE-CHECK capillary BG to confirm <70mg/dL
What is the inpatient blood glucose goal?
What is the goal 100-180
The immediate repeat POCT BG result is 64 mg/dL. After activating the PO treatment order, you treat the patient with 4oz of apple juice what is your next step?
What is repeat POCT BG in 15-30 minutes
The immediate repeat POCT BG result is 64mg/dL. What is your next step?
Activate the order and give 12.5 grams of d50% IVP STAT
What hyperglycemia BG reading requires the nurse to contract the prescriber to inform them of hyperglycemia?
What is an accucheck BG >250 mg/dL triggers the nurse to contact the provider on first occurrence (5th floor)
After an episode of hypoglycemia BG is resolved, what documentation should be added to the chart?
Always write a Provider contact note (hypoglycemia event) in the eMAR.
Fill in what provider was notified, time of notification signs and symptoms patient had, type of diabetes, contributing factors and amount and type of any oral treatment administered
Hypoglycemia symptoms include
( confusion, agitation, aggression)
If an Accucheck BG results is >400 mg/dL what is the next action?
Re-clean pt finger with alcohol, wait for it to dry completely
Repeat the Accucheck BG to verify >400 mg/dL
Treat with insulin per order and contact prescriber for further orders
If result is "HI" obtain STAT laboratory blood glucose to confirm level