19.Eight Checklist For Blood Glucose Monitoring - Nursing Skills - 2e
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작성자 Alejandrina 작성일25-08-14 10:18 조회0회 댓글0건본문
Disclaimer: real-time SPO2 tracking Always review and observe agency policy relating to this particular ability. 1. Prepare earlier than finishing the procedure: - Review the patient’s medical historical past and present medications. Note if the patient is receiving anticoagulant therapy. Anticoagulant therapy might end in prolonged bleeding at the puncture site and require stress to the site. Assess the affected person for indicators and signs of hyperglycemia or hypoglycemia to correlate knowledge to pursue acute action because of an onset of symptoms. Determine if the check requires special timing, for instance, before or after meals. Blood glucose monitoring is usually performed previous to meals and the administration of antidiabetic medications. 2. Gather supplies: nonsterile gloves, alcohol swab, lancet, 2″ x 2″ gauze or cotton ball, real-time SPO2 tracking reagent strips, and blood glucose meter. Determine if the blood glucose meter must be calibrated in response to company coverage to make sure accuracy of readings. Read and understood the manufacturer’s directions and agency coverage for the blood glucose meters. 3. Perform safety steps: - Perform hand hygiene.
Check the room for transmission-primarily based precautions. Introduce yourself, your function, the purpose of your go to, and an estimate of the time it is going to take. Confirm affected person ID utilizing two affected person identifiers (e.g., identify and date of start). Explain the method to the patient and ask if they have any questions. Be organized and systematic. Use acceptable listening and questioning expertise. Listen and attend to affected person cues. Ensure the patient’s privateness and dignity. 4. Have the affected person wash their hands with cleaning soap and heat water, and position the patient comfortably in a semi-upright position in a mattress or upright in a chair. Encourage the patient to keep their hands heat. Washing reduces transmission of microorganisms and increases blood circulation to the puncture site. Agency policy may require use of an alcohol swab to scrub the puncture site. Be certain that the puncture site is completely dry previous to skin puncture. 5. Remove a reagent strip from the container and reseal the container cap to keep the strips free from harm from environmental factors.
Do not touch the check pad portion of the reagent strip. 6. Follow the manufacturer’s directions to prepare the meter for measurement. 7. Place the unused reagent strip in the glucometer or on a clean, dry surface (e.g., paper towel) with the check pad facing up, based on producer suggestions. 8. Apply nonsterile gloves. 9. Keep the world to be punctured in a dependent position. Don't milk or therapeutic massage the finger site: - Dependent position will improve blood move to the world. Don't milk or therapeutic massage the finger as a result of it could introduce excess tissue fluid and hemolyze the specimen. Warm water, dangling the hand for 15 seconds, and a heat towel stimulate the blood circulate to the fingers. Avoid having the patient stand in the course of the procedure to cut back the chance of fainting. 10. Select the suitable puncture site. Cleanse the positioning with an alcohol swab for 30 seconds and permit it to dry.
Perform the pores and BloodVitals SPO2 device skin puncture with the lancet, utilizing a quick, deliberate movement towards the patient’s skin: - The affected person may have a choice for BloodVitals device the site used. For example, the patient may prefer not to use a selected finger for the pores and BloodVitals SPO2 skin puncture. However, keep in thoughts their most well-liked site may be contraindicated. For instance, do not use the hand on the identical aspect as a mastectomy. Avoid fingertip pads; use the sides of fingers. Avoid fingers which can be calloused, real-time SPO2 tracking have damaged pores and skin, or wireless blood oxygen check are bruised. 11. Gently squeeze above the positioning to provide a large droplet of blood. Do not contaminate the location by touching it. The droplet of blood needs to be large sufficient to cover the check pad on the reagent strip. Wipe away the first drop of blood with gauze. 12. Transfer the second drop of blood to the reagent strip per manufacturer’s directions: - The check pad must absorb the droplet of blood for accurate outcomes.
Smearing the blood will alter outcomes. The timing and BloodVitals experience particular directions for measurement will differ between blood glucose meters. You should definitely read the instructions fastidiously to ensure accurate readings. 13. Apply strain, or ask the patient to apply pressure, real-time SPO2 tracking to the puncture site utilizing a 2″ x 2″ gauze pad or clean tissue to cease the bleeding at the location. 14. Read the results on the unit show. 15. Turn off the meter and real-time SPO2 tracking dispose of the test strip, 2″ x 2″ gauze, and lancet based on company coverage. Use caution with the lancet to stop an unintentional sharps harm. 17. Perform hand hygiene. 18. Assist the affected person to a snug position, evaluate check outcomes with the patient, ask if they have any questions, and thank them for their time. 20. Document the outcomes and related assessment findings. Report essential values in line with agency policy, such as values beneath 70 or real-time SPO2 tracking higher than 300, and any related symptoms. Read more about hypoglycemia and hyperglycemia within the "Blood Glucose Monitoring" part of this chapter. YouTube. Video licensed underneath CC-BY-4.0.
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