diabetes

Question 1

level hypoglyc = t

Answer 1

4 is the floor!!!! 3.9mmols and below

Question 2

sx hypio

Answer 2

Pallor
Sweating
Agitation
Palpitations
Feeling of hunger
Tingling lips
Trembling
Vague & confused.

Question 3

best t hypo

Answer 3

orange juice

Question 4

other t hyois

Answer 4

gluco juice
glucose tablets

Wait 15 minutes and re-check blood glucose if blood glucose is still <4mmols repeat the same process for up to 3 times

Question 5

cbg

Answer 5

cap blood gluc

Question 6

Extravasation

Answer 6

infusion of medication or fluids does not go into the vein but into the surrounding tissues

Question 7

How is a cannula removed?

Answer 7

check right pt

Gain consent and reassure the patient
Gather all equipment and ensure correct hand hygiene
Gently remove the dressing completely
Remove cannula then press on wound with gauze until it stops bleeding
Take extra care with patients on blood thinning drugs
Apply appropriate dressing

look at it to make sure that it is whole and that no parts of it have been left behind. If you are unsure, ask a registered practitioner to check the removed cannula, before you dispose of it in the sharps bin.

Dispose of equipment safely
Wash hands
Document the removal on appropriate documentation.

Question 8

imp steps remove cannula

Answer 8

Do not keep tape or gloves in your pocket as this can cause cross contamination. Do not stick a length of tape to the table etc while preparing to remove the cannula.

A sharps bin must be closed properly, be no more than 2/3’s full and have the lid partially closed over the opening whilst transporting it to the patients area.

Question 9

signs uuti

Answer 9

Rigors
Flank Pain
signs of luti+ systmeic eg pyrexia chills voomit

Question 10

test urine sample steps

Answer 10

Decontaminate hands and apply clean gloves and apron
Firstly examine the urine for colour, clarity and odour
Dip the strip into fresh well mixed urine, immerse all areas of the strip
Try to avoid excess urine to ensure that chemicals on the strip do not mix
Wait until the appropriate time has elapsed and compare the strip with the colour chart
Ensure it is documented
Inform the wider team of the result

Question 11

leucocytrs urine dipstick

Answer 11

indlam

most common cause - uti

wont be there is pt neutropenic

escalalte to rn or dr

send > microbiology for furher analysis

Question 12

rigors d

Answer 12

sudden feeling of cold with shaking and exaggerated shivering

Question 13

flank pain d

Answer 13

– Discomfort in the upper abdomen or back and sides.

Question 14

always ask female w haemuturia

Answer 14

pos period>

Question 15

hameutria what do

Answer 15

escalalte

Question 16

proteinuria what do

Answer 16

escalalte

Question 17

mid strea, urine sample hw

Answer 17

pass 1st urine toilet

hold

misdtream= container

hols

pass last into toilet

Question 18

how decant sample to correct sample container

Answer 18

urine sample on flat service

collexn straw to bottom tube

tube into straw, fully push to bott

urine automtocially fill tube

remove tube

straw in sharps bin

label sample

Question 19

stool sample hd

Answer 19

Use appropriate gloves and hand hygiene
Place tray in the toilet to catch the stool
Make sure the sample doesn’t touch the inside of the toilet
Use the specimen container spatula and place the sample in the clean screw-top container and screw the lid shut
Aim to fill around a third of container
Correctly label the container with patient details
Place the container in a sealed plastic bag first and place in specimen tray collection point
Stool samples must be fresh– or bacteria in them can multiply.

Question 20

how often monitor poos

Answer 20

daily

record uf not open them

if hadnt open bowels for 3 days escalalte to rn or dr

Question 21

sputum sample

Answer 21

Provide patient with specimen pot and explain procedure
Support patient to sit up where possible
Ask patient when they have a ‘productive’ cough – ask them to ‘spit’ this into the specimen pot
Please provide tissues
Patients may become very breathless following this, please provide reassurance
If the patient is on oxygen, please ensure the oxygen mask is replaced immediately
Document that the sputum sample has been sent on the electronic clinical system (ICE) and record the appearance of this sputum in the patients notes.

Question 22

when empty bafs

Answer 22

2/3 full or every 4 hrs

Question 23

non drainainge of catheter

Answer 23

Look at the patients general condition, could they be dehydrated?
Does this catheter regularly block?
Is the draining bag below bladder level?
Is the tubing twisted?
Is the patient sitting on the tubing?
Does the patient require a rectal examination required to rule out impaction or faecal loading? If so, this will be done by a registered professional.

Question 24

mental capapcity act age

Answer 24

over 16