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7 Cards in this Set

  • Front
  • Back

Therapeutic Effects

Raise blood glucose levels

Indications

1) Pts. W/ history of diabetes that’s been controlled by meds or bgl level less than 60 mg/ dL


2) pts. W/ ability to swallow


3) pts that have altered mental status

Contraindications

1) unresponsive pts. Or w/ out ability to swallow


2) pt. W BGL level higher than 60 mg/ dL

Side Effects

1) Airway instruction


2) Aspiration

Procedure 1-8

1) Standard Precautions


2) perform primary- LOC, Cc, Abcs, expose , determining transport


3) invstg. Cc


4) obtain SAMPLE- OPQRSTI


5) obtain vitals-PUP, LS, RR, BP, HR, SC, BGL, PO, CAPREF


6) focused physical; DCAP- BLS- TIC on area of CC


7) determine protocols allow administration


8) 6 rights; PMRDDD- patient, medication, route, date, dose, document

Procedure 9-11

9) ensure S&S are in sync w Hypoglycemia & BGL is > 60 mg/dL


10) ensure pt can swallow


11) hold cheek away from mouth and squeeze oral gel into pocket between the gum and the cheek, offer pt to do self if able or use bite stick to squeeze gel onto and stick in back corner of mouth

Procedure 12-16

12) reasses mental status ( make take 20 mins to improve)


13) reasses BGL


14) reasses and record vitals


15) document meds; Dart- dose, action, route, time & pts response +\-


16) monitor pts condition if


Improves; continue o2 monitoring vitals and transport


Worsens; cont o2 contact medical direction on/ offline regarding another 15g dose of oral glucose