Complex Care: Hypoglycemia

What consist of 15g of carbohydrates and re-check BG in 15 mintues and repeat monitoring every 15 mintues​ until target BG is reached.

15-15 Rule

What rule should a nurse follow if a patient is hypoglycemic

15-15 Rule

What target range glucose increase results from 15g of carbohydrates

30-50-mg/dL

The nurse is creating the plan of care for a client who is hypoglycemic. Which assessment is a priority for the nurse to monitor? A. Neurologic status changes B. Temperature status changes C. Cardiac status changes D. Blood alcohol levels

A. Neurologic status changes

The items listed below are examples of which nursing intervention: 1 tube of oral glucose gel 3-4 glucose tablets (4-5 g each) ½ cup or 4 oz of juice 8 oz of skim milk

Carbohydrates

A nurse is caring for an alert client with diabetes who is receiving an 1800-calorie diabetic diet. The client's blood glucose level is 30 mg/dL (3 mmol/L). The primary healthcare provider's protocol calls for treatment of hypoglycemia with 15 g of a simple carbohydrate. What should the nurse do first? A. Provide 12 ounces (360 mL) of nondiet soda B. Give 25 mL dextrose 50% by slow intravenous (IV) push C. Have the client drink 8 ounces (240 mL) of fruit juice D. Ask the client to ingest one tube of glucose gel

D. Ask the client to ingest one tube of glucose gel One tube of glucose gel contains 15 g of carbohydrate and is the most appropriate intervention in this situation. Providing 12 ounces (360 mL) of nondiet soda is too much carbohydrate; 4 to 6 ounces (120 to 180 mL) is adequate. Administering dextrose by IV push is not appropriate for an alert client who is able to eat and drink. Having the client drink 8 ounces (240 mL) of fruit juice is too much carbohydrate; 4 to 6 ounces (120 to 180 mL) is adequate.

What is the nurse HIGHEST symptom related to Hypoglycemia

Mental Status or Loss of Consciousness

If a patient is presenting with a glucose level of 30mg/dL but has the capacity to swallow with an A&O X 2, the nurse would give.........

Give 15g carbohydrates (note: if awake and able to swallow)

If patient regains consciousness, is able to eat and the next meal is over 2 hours away the nurse should......

Give patient additional food such as peanut butter crackers or cheese and crackers.

Which condition has the Etiology of insufficient caloric intake, excessive exercise, excessive insulin and increase risk for renal and/or liver disease

Hypoglycemia

Which condition has the sign and symptoms of weakness, fatigue, difficult to concentrate, confusion and irritability

Hypoglycemia

Which condition requires the physical assessment of cold, clammy, skin, profuse sweating, confusion, seziures and loss of consciousness

Hypoglycemia

Hypoglycemia Nursing Interventions: Give 15g carbohydrates if awake and able to swallow-->give glucagon IM if not alert to swallow-->give dextrose IV in inpatient setting-->STOP insulin infusion if applicable

Hypoglycemia Nursing Interventions: Give 15g carbohydrates if awake and able to swallow-->give glucagon IM f not alert to swallow-->give dextrose IV in inpatient setting-->STOP insulin infusion if applicable

If a patient has a glucose level of 60mg/dL, the patient would be considered

Hypoglycemic

True or False: Hypoglycemia should be considered a potential etiology in any patient who has a change in level of consciousness

True