Lab Values
The lowest normal blood glucose value.
70 mg/dL
Medical term for blood glucose less than 70 mg/dL.
Hypoglycemia
Time limit a blood glucose must be RESULTED if the patient was hypoglycemic (previous reading less than 70 mg/dL).
30 minutes
Interventions to increase blood sugar
If patient alert and conscious: 4 ounces of fruit juice, 4 ounces of regular soda, glucose tablets
If patient unresponsive: IV glucose
List signs and symptoms of hypoglycemia
Shaky
Sweaty
Very Hungry
The highest normal blood glucose value.
120 mg/dL
Medical term for blood glucose > 120 mg/dL.
Hyperglycemia
Time limit a blood glucose must be RESULTED to recheck after a 150 mg/dL or greater result.
2 hours (120 minutes)
When to urgently alert the nurse of a blood glucose level?
FSBS <70, patient responsive, but unable to swallow, NPO, and/or has no IV access
List signs and symptoms of hyperglycemia
Tired, Thirsty, Increased Urination, Vision Changes
Normal range for blood glucose.
70 to 120 mg/dL
Medical term for normal blood glucose ranging 70 to 120 mg/dL
Euglycemia
In what time frame must a hypoglycemic recheck be completed?
Must be completed and documented in 30 minutes from the time the initial blood sugar was checked (not from time of treatment).
Tip: Set timer for 20 minutes to allow timely recheck
True or False? Complications of diabetes can be significantly reduced by blood glucose control.
True! Research shows that diabetes management strategies work.
True or False..
Diabetes is a major cause of death and disability.
True! Long-term complications of diabetes include blindness, heart disease, stroke, kidney failure, amputations, and nerve damage.
Which blood glucose lab value is considered hyperglycemic?
FSBS >300 mg/dL
THE HORMONE INVOLVED WITH DIABETES
Insulin
In what time frame must a hyperglycemic recheck be completed?
Must be completed and documented in 90 minutes from the time the initial blood sugar was checked.
Tip: Set timer for 80 minutes to allow timely recheck
The NCP/PCA/CNA completes a fingerstick blood sugar on a patient at 0735. The patients FSBS is 60. What actions should the NCP/PCA/CNA complete next? What time should the hypoglycemic re-check be completed?
If patient alert, arousal, responsive, and able to swallow: 4 oz. of juice or 8 oz. of milk or 3 graham crackers or 8 oz. of apple juice for renal insufficiency. Notify nurse. Recheck at 0755, no later than 0805
A chronic (long-lasting) health condition that affects how your body turns food into energy.
What is Diabetes?
When to call a Rapid Response? How to call Rapid Response?
Patient symptomatic, decreased respirations, unarousable, unresponsive.
44# (RRMC, RDHW) 222# (RWRH)
Case Study Continued: Upon re-check, the patient’s fingerstick blood sugar at 0800 is 40. The patient is unarousable with occasional snoring, what actions should the NCP/PCA/CNA take next?
Recheck blood glucose immediately then follow guidelines:
Call for help and RRT.
If patient was alert, responsive, arousable, and able to swallow: 6-8 oz. of juice or milk and 3 graham crackers (apple juice for renal insufficiency). Notify nurse