diabetes Flashcards
level hypoglyc = t
4 is the floor!!!! 3.9mmols and below
sx hypio
Pallor Sweating Agitation Palpitations Feeling of hunger Tingling lips Trembling Vague & confused.
best t hypo
orange juice
other t hyois
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
cbg
cap blood gluc
Extravasation
infusion of medication or fluids does not go into the vein but into the surrounding tissues
How is a cannula removed?
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.
imp steps remove cannula
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.
signs uuti
Rigors
Flank Pain
signs of luti+ systmeic eg pyrexia chills voomit
test urine sample steps
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
leucocytrs urine dipstick
indlam
most common cause - uti
wont be there is pt neutropenic
escalalte to rn or dr
send > microbiology for furher analysis
rigors d
sudden feeling of cold with shaking and exaggerated shivering
flank pain d
– Discomfort in the upper abdomen or back and sides.
always ask female w haemuturia
pos period>
hameutria what do
escalalte
proteinuria what do
escalalte
mid strea, urine sample hw
pass 1st urine toilet
hold
misdtream= container
hols
pass last into toilet
how decant sample to correct sample container
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
stool sample hd
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.
how often monitor poos
daily
record uf not open them
if hadnt open bowels for 3 days escalalte to rn or dr
sputum sample
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.
when empty bafs
2/3 full or every 4 hrs
non drainainge of catheter
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.
mental capapcity act age
over 16
