blood glc and urinalysis Flashcards Preview

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Flashcards in blood glc and urinalysis Deck (22)
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1

blood glc procedure

consent
ensure pt has washed hands
turn on monitor and put in test strip
use lancet to prick side of finger
blood to strip
read result
test ketones if hyperglycaemic

2

hypoglycaemia

<3

3

hyperglycaemia

>11

4

normal range BG

4.2-6.3

5

fasting plasma glc values

normal: <6
intermediate: 6 - 6.9
diabetes: >7

6

random plasma glucose - what result what indicate diabetes

>11

7

diabetic ketoacidsosis features

hyperglycaemia
raised ketones (>3)
acidosis

8

urinalysis procedure

-hand hygiene + gloves
-observe sample: clarity, colour, smell
-exp date reagent strips and take one out
-emerse in urine
-remove and start timer
-read results at corresponding tiem

9

urinalysis: leucoytes

UTI

10

urinalysis: nitrites

UTI (gram negative)

11

urinalysis: protein

proteinuria
nephrotic syndrome, UTI, PET

12

urinalysis: acidic pH

<4
uncontrolled diabetes
starvation, dehydration
DKA

13

urinalysis: alkaline pH

>8
UTI

14

urinalysis: blood

UTI
nephritic syndrome

15

urinalysis: specific gravity low

renal abnormalities
high fluid intake

16

urinalysis: specific gravity high

dehydration

17

urinalysis: ketones

uncontrolled diabetes
DKA
starvation

18

urinalysis: glucose

diabetes --> blood Glc, HbA1c
cushings
renal tubular disease

19

urinalysis: leukocytes and nitrites

UTI
follow up urine culture

20

urinalysis: DKA signs

glucose
ketones
low Ph

21

urinalysis: high specific gravity and proteinuria

nephrotic syndrome

22

what do to if capillary blood glucose comes back hyperglycaemic

test for ketones