blood glc and urinalysis Flashcards

1
Q

blood glc procedure

A
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
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2
Q

hypoglycaemia

A

<3

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3
Q

hyperglycaemia

A

> 11

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4
Q

normal range BG

A

4.2-6.3

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5
Q

fasting plasma glc values

A

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

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6
Q

random plasma glucose - what result what indicate diabetes

A

> 11

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7
Q

diabetic ketoacidsosis features

A
hyperglycaemia 
raised ketones (>3) 
acidosis
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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
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9
Q

urinalysis: leucoytes

A

UTI

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10
Q

urinalysis: nitrites

A

UTI (gram negative)

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11
Q

urinalysis: protein

A

proteinuria

nephrotic syndrome, UTI, PET

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12
Q

urinalysis: acidic pH

A

<4
uncontrolled diabetes
starvation, dehydration
DKA

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13
Q

urinalysis: alkaline pH

A

> 8

UTI

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14
Q

urinalysis: blood

A

UTI

nephritic syndrome

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15
Q

urinalysis: specific gravity low

A

renal abnormalities

high fluid intake

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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