Glucose Monitoring Flashcards

(50 cards)

1
Q

What is the first step in performing glucose monitoring?

A

Assembles equipment and supplies

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2
Q

Why is calibrating glucose meters important?

A

It ‘codes’ the meter and ensures accurate results

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3
Q

How often should controls be performed on hospital glucose meters?

A

Every 12-24 hours

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4
Q

What should you do if a home glucose meter value seems incorrect?

A

Perform controls

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5
Q

What is the primary site used for obtaining blood specimens in glucose monitoring?

A

Pads of fingers

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6
Q

What are alternative ways to obtain a blood specimen besides using finger pads?

A
  • Arterial lines
  • Central Venous Lines
  • PICC Lines
  • During lab draws
  • Alternative site testing
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7
Q

What is the average fasting glucose goal for adults?

A

80-130

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8
Q

What are critical values for glucose monitoring?

A

Less than 40 or higher than 400

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9
Q

What is the Rule of 15 in treating hypoglycemia?

A

If glucose less than 70, DRINK 15 grams of carbohydrate and wait 15 minutes

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10
Q

What is considered 15 grams of carbohydrate?

A
  • 4 ounces of juice or soda
  • 3-4 glucose tablets
  • 1 tablespoon of honey or syrup
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11
Q

What can lower glucose levels about 15-20 mm/dL?

A
  • A 16-ounce bottle of water
  • A 20-minute walk
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12
Q

What should be done if glucose remains above 250?

A

Test for ketones

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13
Q

What is a common protocol regarding oral diabetes medications during hospitalization?

A

Most are held due to procedures

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14
Q

What is the typical timing for blood glucose testing in the hospital for patients not eating?

A

Every 6 hours

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15
Q

What should you NEVER do regarding insulin without an order?

A

DO NOT HOLD INSULIN

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16
Q

Name a few brands of Continuous Glucose Meters (CGM).

A
  • Medtronic Guardian
  • Freestyle Libre 1, 2, 3
  • Dexcom G6, G7
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17
Q

What does a Continuous Glucose Meter (CGM) do?

A

Helps with hyperglycemia and hypoglycemia

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18
Q

What is the first step in performing glucose monitoring?

A

Assembles equipment and supplies

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19
Q

Why is calibrating glucose meters important?

A

It ‘codes’ the meter and ensures accurate results

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20
Q

How often should controls be performed on hospital glucose meters?

A

Every 12-24 hours

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21
Q

What should you do if a home glucose meter value seems incorrect?

A

Perform controls

22
Q

What is the primary site used for obtaining blood specimens in glucose monitoring?

A

Pads of fingers

23
Q

What are alternative ways to obtain a blood specimen besides using finger pads?

A
  • Arterial lines
  • Central Venous Lines
  • PICC Lines
  • During lab draws
  • Alternative site testing
24
Q

What is the average fasting glucose goal for adults?

25
What are critical values for glucose monitoring?
Less than 40 or higher than 400
26
What is the Rule of 15 in treating hypoglycemia?
If glucose less than 70, DRINK 15 grams of carbohydrate and wait 15 minutes
27
What is considered 15 grams of carbohydrate?
* 4 ounces of juice or soda * 3-4 glucose tablets * 1 tablespoon of honey or syrup
28
What can lower glucose levels about 15-20 mm/dL?
* A 16-ounce bottle of water * A 20-minute walk
29
What should be done if glucose remains above 250?
Test for ketones
30
What is a common protocol regarding oral diabetes medications during hospitalization?
Most are held due to procedures
31
What is the typical timing for blood glucose testing in the hospital for patients not eating?
Every 6 hours
32
What should you NEVER do regarding insulin without an order?
DO NOT HOLD INSULIN
33
Name a few brands of Continuous Glucose Meters (CGM).
* Medtronic Guardian * Freestyle Libre 1, 2, 3 * Dexcom G6, G7
34
What does a Continuous Glucose Meter (CGM) do?
Helps with hyperglycemia and hypoglycemia
35
glucose number--re-access-new number--treat
36
When do you call the doctor? After you re-access patient
37
cluster care as nurse, on sides of finger for glucose stick, watch out for edema
38
Why should you waste blood? prevent lot
39
Make sure assure strips are not expired.
40
GOAL- glucose w/o diabetes less than 100
41
pre- diabetic stick twice/ 100-125 glucose number fasting
42
Over 125 glucose number- type ii diabees
43
fasting is 6-8 h for testing
44
Before treatment, Redraw lab
45
critical valve
less than 40 or higher than 400 is critical
46
Rule of 15 exam
If glucose less than 70, DRINK 15 grams of carbohydrate and wait 15 minutes. Recheck glucose. If remains less than 70, DRINK 15 grams of carbohydrate. If greater than 70, eat a protein and 15 gram carbohydrate snack.
47
Drink first, then food what is 15 g of carbohydrate?
- 4 ounces of juice or soda -3-4 glucose tabs 1 tablespoon of honey
48
Nurse can never HOLD insulin on a sliding scale.
49
Nurse can hold insulin with a set dose with food
50
If blood sugar is low too often, reduce amount of insulin