Diabetes
Which type is referred as juvenile onset?
Type 1
What does hypoglycemia, bells palsy, alcohol encephalopathy and a head injury mimic in some cases?
Stroke
What can mimic a heart attack.
Anxiety, Gerd Reflux, Withdrawal.
What are the 7 medication rights?
Right Person
Right Drug
Right Dose
Right time
Right Route
Right Documentation
Right to refuse
Proper treatment for blood sugar below 69.
Juice or a sandwich?
Give an orange or apple juice (15 grams of carbs), and recheck in 15 minutes.
Which one is more prevalent and the risk increases with age?
Type II
If someone has left sided weakness/paralysis, which side of the brain has been affected?
Right side
What should you do for chest pain treatment?
Vitals, aspirin when indicated if acute pain (if not allergic), apply oxygen at 2L, give Nitro if inmate has it, Notify provider, Call EMS.
Which medication per standing order may lead to toxicity?
Tylenol
Per standing order, when is oral glucose administered & where is it located?
When blood sugar is below 60 and symptoms present. Can be found in the diabetic room or top drawer of med cart.
This is a metabolic condition that effects the body's ability to make insulin.
Type I
What are the symptoms of a stroke?
Slurred speech, incomprehensible speech, one-sided weakness, unequal pupils, facial droop, confusion.
What is HSU's nemesis on the commissary list and why?
Ramen Noodles! Very high in salt, bad for the heart, high carbs, no nutrition.
The only medication permitted per standing order to treat allergic reactions.
Benadryl
What would be a good idea if an inmate refuses an antibiotic?
Notify HSU
The body does not make enough insulin and/or the body becomes insulin resistant.
Type II
Symptoms to monitor in a head injury.
Vomiting, lethargy, confusion, unequal pupils, slurred speech, headache, personality changes.
Are they on blood thinners? (Warfarin/Coumadin, Xeralto, Aspirin)
Inmates blood pressure is 200/120, ankles swollen, short of breath, and may be coughing. What would you do?
Ask if they have chest pain and call provider. Consider checking the MAR and see if they have been compliant with taking their blood pressure meds or diuretics.
Cough syrup dose?
10 ml
What is included in the administration of inhalers?
(Best practice)
Making sure the inmate rinses mouth after use.
Can diabetes be cured through proper diet and exercise?
False, diabetes can be controlled but it can never be cured.
Which drug would you see withdrawal symptoms the fastest? Heroin, Methadone or Suboxone
Heroin
Do we honor DNR status'?
No
If an inmate is on a prescribed medication such as blood pressure meds, etc. (not Ibuprofen, Tylenol or any standing order meds), and they are ordered 2 tabs and they only want one, what should you do?
Tell them they need to take both the prescribed tabs or none and will need to talk to HSU. Also report this to HSU.
When do you need soap and water vs. hand sanitizer?
When hands are visibly soiled.