Blood Glucose Measuring Devices in the Pre-Hospital ... - CNY EMS

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Clinical Presentation Hypoglycemia (BG < Normal) • Normal or rapid respirations • Pale, moist skin • Diaphoresis • Dizziness, headache • Rapid pulse • Normal or low BP • Altered mental status • Anxious or combative • Seizure or fainting • Coma • Weakness simulating CVA Hyperglycemia (BG > 200 mg/dl) •Kussmaul respirations •Dehydration with dry, warm skin and sunken eyes •Polydipsia: excessive thirst •A sweet or fruity (acetone) odor to breath •Polyphagia: excessive hunger •Poor wound healing •Rapid and weak pulse •Polyuria: excessive urination •Blurred vision, fatigue •Normal or slightly low BP •Varying degrees of unresponsiveness that onsets more slowly than in hypoglycemia 26
Glucometry • Indications to perform glucose test • How to obtain blood sample • Instruction on glucometer operation • What to do with test result • Proper disposal of sharps / contaminants • Proper action for blood borne pathogen exposure 27
Page 1 and 2: Blood Glucose Measuring Devices in
Page 3 and 4: Objectives • History of program
Page 5 and 6: History 5
Page 7 and 8: History • Pilot Program with Alba
Page 9 and 10: Albany FD Learning & Retention •
Page 11 and 12: Physiology • The body uses glucos
Page 13 and 14: What is a “Diabetic” • The co
Page 15 and 16: Normal Blood Glucose Levels • Nor
Page 17 and 18: Resulting from • Too much insulin
Page 19 and 20: Resulting from • Too little a dos
Page 21 and 22: Diabetes - Type II • Usually adul
Page 23 and 24: Unrecognized or Untreated... • Di
Page 25: “So what makes diabetes a medical
Page 29 and 30: Altered Mental Status - Common Caus
Page 31 and 32: BLS Pre-Hospital Care Scene Safety/
Page 33 and 34: BLS Pre-Hospital Care Focused histo
Page 35 and 36: Common Diabetic Emergencies • Hyp
Page 37 and 38: Hypoglycemia • “Looks Shocky”
Page 39 and 40: Treatment for Hypoglycemia • Oral
Page 41 and 42: Glucose Measuring Devices • Used
Page 43 and 44: Procedures • Careful attention to
Page 45 and 46: Patient Preparation • Clean the s
Page 47 and 48: BG Procedure •The glucometer read
Page 49 and 50: Administering Glucose • If the pa
Page 51 and 52: Administering Glucose • Open the
Page 53 and 54: Care of the Blood Glucometer • Ha
Page 55 and 56: Case Study 1 • Your unit receives
Page 57 and 58: Case Study 3 • Your unit receives
Page 59: QUESTIONS 59

Blood Glucose Measuring Devices in the Pre-Hospital ... - CNY EMS

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