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    CBG Monitoring and Insulin Therapy

    Uploaded by

    Noelle Charles Paderog
    This document outlines the proper procedure for monitoring capillary blood glucose levels and providing insulin therapy to clients with diabetes mellitus. It describes gathering materials, preparing the glucometer, inspecting the puncture site, drawing blood via lancet, collecting the blood sample, and documenting results. It also covers different types of insulin, proper administration techniques, potential complications, and considerations for special populations.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    CBG Monitoring and Insulin Therapy

    Uploaded by

    Noelle Charles Paderog
    26 views5 pages
    This document outlines the proper procedure for monitoring capillary blood glucose levels and providing insulin therapy to clients with diabetes mellitus. It describes gathering materials, preparing the glucometer, inspecting the puncture site, drawing blood via lancet, collecting the blood sample, and documenting results. It also covers different types of insulin, proper administration techniques, potential complications, and considerations for special populations.

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    This document outlines the proper procedure for monitoring capillary blood glucose levels and providing insulin therapy to clients with diabetes mellitus. It describes gathering materials, preparing the glucometer, inspecting the puncture site, drawing blood via lancet, collecting the blood sample, and documenting results. It also covers different types of insulin, proper administration techniques, potential complications, and considerations for special populations.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    26 views5 pages

    CBG Monitoring and Insulin Therapy

    Uploaded by

    Noelle Charles Paderog
    This document outlines the proper procedure for monitoring capillary blood glucose levels and providing insulin therapy to clients with diabetes mellitus. It describes gathering materials, preparing the glucometer, inspecting the puncture site, drawing blood via lancet, collecting the blood sample, and documenting results. It also covers different types of insulin, proper administration techniques, potential complications, and considerations for special populations.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    CBG Monitoring and Insulin Therapy

    1. Introduce self to client


    2. Explain the procedure to the client at his/her level of understanding
    3. Gather all the materials and make sure that everything is complete and in good order (i.e.
    glucometer,lancing device,new lancets, cotton swabs, testing strips, sharp bin)
    4. Set up the glucometer according to the specific direction that comes with the meter
    5. Inspect the finger to be punctured
    6. Place the lancet into the lancing device
    7. Adjust the depth of puncture by rotating the lancing device dial
    8. Inspect the strip or canister for the code and expiry
    9. wash hands with soap and warm water/ disinfected hands r finger of the client
    10. insert testing strips into the meter
    11. instruct client to shake hands below the waist
    12. squeeze or milk the finger from the base of the palm up to the DIP(distal interphalageal) joint
    twice
    13. gently prick the side of the finger with the lancets to draw out a drop of blood (wipe off the
    first drop of blood with dry cotton)
    14. hold the hand down and place a drop of blood on the test strip according to the instructions
    of the meter
    15. gently press on the site using the cotton swab to stop bleeding and reduce risk of bruising
    16. remove the lancets from the lancing device and test strip from meter

    17. dispose sharps and contaminated waste in appropriate containers


    18. return the materials and equipment as appropriate
    19. document/record:
    date
    time
    result
    puncture site
    20. Ensure that the client is comfortable and that the bleeding is stopped.

    -
    - capillary blood glucose
    - diabetes mellitus
    - fingertips
    - ear lobes
    - lancets
    - lancing device
    - reagent strips
    - blood glucose meter/glucometer/reflectance photometer
    - 6-8 hours NPO
    - fasting food/drink
    - false result
    - pancreas
    - insulin released by the beta cells
    - islet of Langerhans

    Self Monitoring of blood Glucose

    - 70-110- normal
    - 120-130- prediabetic
    - management
    - diabetic
    - client/caregiver
    - home/work
    - built in memory
    - record / document
    - baseline data
    - assessment
    - carbohydrate intake-change
    - energy
    - brain stimulant
    - exercise- change
    - insulin- change
    - healthcare provider
    - AP/Doctor-insulin
    - Client teaching
    - Indication:
    - 1. effectiveness of medication
    - oral hypoglycemic agents
    - metformin
    - 2. Glucose excursion
    - posprandial blood glucose after meal- 2hrs
    - 3. Glucose response to exercise regimen
    - calorie
    - hyper/hypoglycemia
    - appropriate treatment
    - hypo
    - eat/drink
    - call the doctor
    - D50 water
    - 50 ml ampule
    - halfampule
    - 1 ampule
    - d. evaluate after 1 hr
    - check blood sugar
    - OR NPO
    - check blood sugar
    - hyper
    - insulin
    - 5. diabetic coma
    - 400 cant read
    - non diabetic coma
    - note: normal eyes, motor, speech
    - neonatal hypoglycemia
    - MATERIALS:
    - gloves
    - glucometer
    - strip
    - lancet
    - alcohol small
    - cotton ball
    - Procedure:
    - 1. no eat or drinks
    - TID/2 hours before
    - bedtime qHS
    - 2. wash hands with warm water- vasodilation
    - alcohol swabs
    - 3. ineffective peripheral tissue perfusion
    - warm compress
    - 10 minutes
    - 4. Pediatric
    - heel
    - great toe
    - 5. don disposable gloves
    - turn on glucometer
    - proper calibration
    - code
    - 6. message
    - symbol
    - 7.prick
    - 8. don’t squeeze
    - tissue
    - large hanging drop of blood
    - 10.
    - 11.
    - 12.
    - 13.
    - 14.
    - 15.
    - 16.
    - 17.
    - precaution or special consideration
    - HGT hemoglobin glucose test
    - expiration data
    - protect from light heat moisture

    Insulin Therapy

    - subcutaneous
    - 2 fingerbreadths
    - 45 degree
    - normal
    - 70 degree
    - obese
    - units
    - onset-start
    - peak-effectiveness
    - duration- length
    - Categories
    - 1. Rapid acting
    - 2. Short acting
    - 3. Intermittent
    - 4. long acting
    - 5. very long acting- buffer
    - glargine
    - same pt/needle
    - Complication
    - 1. hyperglycemia
    - 2. local/systemic allegic reaction
    - 3. insulin/ lipodystrophy
    - 4. insulin resistance
    - 5. dawn phenomenon
    - 6. somogyn defect/rebound effect
    - rebound
    - resistance
    - hypo or hyperglycemia
    - 7. insulin weaning
    - syringe pump
    - underdose

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