blood glc and urinalysis Flashcards

1
Q

blood glc procedure

A
consent
ensure pt has washed hands
turn on monitor and ensure calbriated put in 
wsh hands
test strip 
use lancet to prick side of finger
blood to strip 
read result 
test ketones if hyperglycaemic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

hypoglycaemia

A

<3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

hyperglycaemia

A

> 11

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

normal range BG

A

4.2-6.3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

fasting plasma glc values

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

random plasma glucose - what result what indicate diabetes

A

> 11

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

diabetic ketoacidsosis features

A
hyperglycaemia 
raised ketones (>3) 
acidosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

urinalysis procedure

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

urinalysis: leucoytes

A

UTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

urinalysis: nitrites

A

UTI (gram negative)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

urinalysis: protein

A

proteinuria

nephrotic syndrome, UTI, PET

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

urinalysis: acidic pH

A

<4
uncontrolled diabetes
starvation, dehydration
DKA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

urinalysis: alkaline pH

A

> 8

UTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

urinalysis: blood

A

UTI

nephritic syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

urinalysis: specific gravity low

A

renal abnormalities

high fluid intake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

urinalysis: specific gravity high

A

dehydration

17
Q

urinalysis: ketones

A

uncontrolled diabetes
DKA
starvation

18
Q

urinalysis: glucose

A

diabetes –> blood Glc, HbA1c
cushings
renal tubular disease

19
Q

urinalysis: leukocytes and nitrites

A

UTI

follow up urine culture

20
Q

urinalysis: DKA signs

A

glucose
ketones
low Ph

21
Q

urinalysis: high specific gravity and proteinuria

A

nephrotic syndrome

22
Q

what do to if capillary blood glucose comes back hyperglycaemic

A

test for ketones