POCT Blood Glucose

Question 1

Critical BG values

Answer 1

500

Question 2

Nursing actions if find a critical value BG

Answer 2

1. Repeat test
2. Notify provider
3. Inquire about obtaining a blood serum glucose sample
4. Implement provider’s orders

Question 3

Hypoglycemia: adrenergic signs and symptoms

Answer 3

Anxiety, nervousness, palpitation, sweating, tachycardia, tremors

Question 4

Hypoglycemia: neuroglycopenic signs and symptoms

Answer 4

Changes in behavior, headache, irritability, seizures

Question 5

Hypoglycemic management

Answer 5

1. Administer 25 to 50 grams dextrose IV
2. Graham crackers or saltine crackers and juice
3. Glucagon

Question 6

Hyperglycemia: signs and symptoms

Answer 6

Polydipsia, polyurea, polyphagia, anorexia, nausea, vomiting, fatigue, rapid shallow respirations, loss of consciousness, dehydration, hypotension, tachycardia, fruity breath

Question 7

Hyperglycemic management

Answer 7

1. Fluid resuscitation

2. Regular insulin IV