Diabetes High Blood Sugar
Excessive urination, thirst/dry mouth, fatigue, blurred vision, confusion, infections or injuries heal more slowly than usual.
What is Hyperglycemia?
Shaky, sweaty, dizzy, confusion, hungry, weak or tired, headache, nervous or upset.
What is Hypoglycemia?
BP>160/100, Any cardiac or neurologic symptoms, and patient has taken prescribed medication.
Fruits, Milk & Yogurts, Grains and starches.
What are carbohydrates?
Unconscious or difficult to awaken, acting confused, very weak, severe difficulty breathing, weakness of the face, arm, or leg on one side of the body, AND new onset.
Chest pain >5min& History of heart disease. Systolic BP<90 feeling dizzy, lightheaded or weak.
CALL EMS/911 NOW if:
Poor vision, blindness
Neuropathy, pain in their feet/legs
Dialysis when kidneys reach end stages
Cardiovascular disease, heart attack, stroke, congestive heart failure narrowing of the arteries.
What is DM Complications?
Blood glucose <70 or symptomatic with other adult present and cause known apply the 15/15 rule. Once blood glucose is above 70, then feed patient a carb + protein snack, if it is time for a meal then have a patient eat a balanced meal.
BP>200/120 & no cardiac or neurologic symptoms, and is not on any blood pressure medications.
BP>180/110 & missed most recent dose of blood pressure medication.
CHW should call AMN now if:
Meat, fish, shrimp, eggs, seeds and nuts, tofu.
What is a protein?
Every 3 years patient can receive glucoccard glucometer kit.
How often can a pt get a glucomter from HHS?
Two hv initial scenarios:
Patients blood glucose >240 & uses insulin. (drink one glass of water/hr for the next 4hrs. take insulin/meds as directed.
Patients blood glucose >240 & does not use insulin: treat drink at least one glass of water/for the next 4hrs take meds as directed.
CHW is to advise patient home care if:
Applied 15/15 rule and blood glucose <70 or symptomatic with other adult present and cause unknown.
CHW is to schedule PCP appointment if:
BP>160/100 & no signs of cardiac or neurologic symptoms and patient has taken prescribed blood pressure medication.
CHW is to schedule pcp appointment within 3 days if:
Fall in systolic BP of more than 20 points when medication taken:
- and not dizzy, lightheaded or weak
-after eating a meal
-after standing up
*diastolic BP<50
CHW is to schedule for pcp appointment within 3days if:
Close appointment encounters in 24hours or less.
How long does one have to close an appt encounter?
patients Blood glucose>400
patients Blood glucose >300 & two or more times in a row.
CHW is to advise patient to call AMN if:
Low blood sugar symptoms. Persists >30 min &using low blood sugar care advise.
Low blood sugar (>70) persists>30min and using low blood sugar care advise 15/15
CHW is to call EMS now if:
BP>180/110 and no signs of cardiac or neurologic symptoms and patient has taken prescribed blood pressure medication.
CHW is to schedule pcp appointment within 24hrs.
Systolic BP <90 AND not dizzy, lightheaded or weak
Systolic BP between 90-110 & taking bp medication & not dizzy, lightheaded, weak.
CHW is to schedule pcp appointment today if:
The field in which they teach you more about your health condition, understand how to better manage your condition, set and reach treatment goals that may help lower the risk of complications, connect with the right person to help support your health care needs.
What is a patient educator?
patient is vomiting &signs of dehydration
blood glucose >240 & rapid breathing
blood glucose >500
CHW is to advise patient ED NOW if:
When blood sugar less than 70, treat consuming with 15gms of carb. Wait 15min, then after pt consumes recheck blood sugar. Then have patient eat a snack or balanced meal.
Ex of sugar options to treat: 3 (4g)glucose tablets, 4oz of fruit juice, 5-6oz of regular soda(not diet), 7-8 gummy or regular life savers, 1tbsp of sugar or jelly.
What is the 15/15 rule?
BP>140/90
BP>130/80 & history of heart problems, kidney disease.
CHW is to schedule patient to PCP in 2 weeks.
Systolic BP<80 & NOT dizzy, lightheaded or weak.
CHW is to advised ED now.
A medical professional who administers, dispenses and monitors medications for patients.
What is a clinical pharmacist?