Please enable JavaScript.
Coggle requires JavaScript to display documents.
Daisy Miler (Lab values (HbAlc: 5.2%. For a patient with diabetes this is…
Daisy Miler
-
Patient/Family teaching
All patients with diabetes should carry at least 15g of carbohydrates to be eaten or taken in liquid form in the event of a hypoglycemic reaction (Perry et al, 2010)
Psychological and social support is important for the whole family right from the start. Diabetes is a life changing condition that not only affects the individual so extra support may be needed. (Hamilton, Knudsen, Vaina, Smith & Paul, 2017)
How to check blood glucose (Perry et al, 2010)
-
-
-
Choose a puncture site that is vascular, avoiding the tip of the finger
-
-
-
-
-
-
Storing insulin
-
-
Inspect for frosted cloudiness, crystallization any discolouration before use
-
-
Sick day rules (Paul, Day, & Williams, 2016).
Drink plenty of sugar free fluids or water, avoid coffee, tea, and colas
-
-
-
-
It is unnecessary to rotate injection sites, as newer insulins have a lower risk for hypertrophy, now patients can choose one region and rotate within that region, this also maintains consistent insulin absorption (Perry et al, 2010)
Precautions with exercise (Paul, et al, 2016)
-
-
If blood glucose is greater than 13.9mmol/L and ketones are present in the blood, you should avoid exercise until
-
-
-
Assessment (Karch, 2017)
-
Perform a baseline assessment, including vitals and glucose levels.
-
-
Assess diet and activity level, noting any poor habits. Pay close attention to activity levels, because it can alter glucose levels and may require a higher dose of insulin
-
Assess lab values and urinalysis for ketones, glucose in urine and blood, along with renal function.
-
Implementation (Karch, 2017)
-
-
-
Ensure a warm and quiet environment, ensure the patient is relaxed
-
Provide visual distractions, such as a stuffed animal when administering
-
Physicians Orders
-
-
Monitor blood glucose at 08, 10, 12, 14, 17, 21, 03
Monitoring blood glucose is important to ensure that the patients blood glucose is within a healthy range (Perry et al, 2010)
-
Expected outcome and evaluations (Deglin, et al, 2017)
-
Monitor for hypoglycemia, UTI, GI distress
-