Our clinic has grown astronomically over the last 4 years. Treatment Strategies A team approach is also needed in recognizing and treating patients with hypoglycemia.
The majority of the Nursing Treatment Protocols actually result in using educational materials or self-care treatments. Sometimes, no nursing protocol will or should apply to the patient that the nurse is evaluating. Sometimes, patients are taken off the nursing unit for procedures during scheduled meal times.
It is recognized that nursing staff are responsible to review the changes that have been implemented, and understand the proper use of the Nursing Protocols. The real danger is that the patient may be heading for a real low due to too much insulin, not eating enough that day and many other causes.
Implementation of the Nursing Protocols involves another application of the general concept of nursing triage practice. If you do not have a documented safe range with the clinic approved surestep flex meter, your patient may be walking out of your area to drive a car with low blood glucose.
Except in elderly or chronically ill individuals or in association with prolonged fasting, severe hypoglycemia is unlikely to occur when appropriate doses of any oral glucose-lowering agents are used to manage blood glucose.
All three meals should follow a consistent carbohydrate approach that emphasizes the importance of a mixed meal. An elevated glucose level at that time could indicate insufficient nighttime insulin dosing, whereas a low glucose level at that time may indicate an early peak in evening insulin or insufficient caloric intake at bedtime.
These practices include the use of trailing zeros after decimal points 2. Inpatient use of oral agents Oral agents should not be used by inpatients who are too ill to maintain adequate caloric intake or who are on NPO status because of illness or planned procedures.
Oregon DOC Health Services requires that all nurses that use the protocols are supervised for this privilege by the Health Services Manager and the Chief Medical Officer of the institution that the nurse works at.
If the patient is able to eat but is to be taken off the unit just before mealtime, then supplemental carbohydrate can be given to patient. I am the charge nurse at the Vanderbilt Eskind Diabetes Center. Needless, to say we have a lot of hypoglycemia episodes in our setting.
Patients with persistent hypoglycemia may require an overall reduction in insulin dose. Scheduled insulin therapy Concerns about hypoglycemia are often exhibited in physician orders.
Gathering data from Point of Care Testing POCT with our surestep flex meter over a six month period revealed the inconsistency of follow up bg post treatment of hypoglycemia.
Then, a large dose of regular, lispro, or aspart insulin is given, which could cause hypoglycemia, particularly if administered at bedtime without a meal.
Sometimes over the counter or prescription medication will be suggested. We have a large diabetes population.
Oregon DOC Health Services requires additional training in physical assessment and the use of treatment protocols for the nurses who use them. Reviewing the signs and symptoms of hypoglycemia with nursing staff and patients may prevent severe hypoglycemic episodes.
Blood glucose monitoring should be performed before the patient leaves the unit, and precautions for treating the patient in the event that hypoglycemia symptoms occur must be considered. With this in mind, myself and one of our clinic endocrinology physicians set forth to write a clinic specific policy.
Predictably, this approach does not work.Treatment Strategies. A team approach is also needed in recognizing and treating patients with hypoglycemia. Reviewing the signs and symptoms of hypoglycemia with nursing staff and patients may prevent severe hypoglycemic episodes.
Treatment of Hypoglycemia in Newborns Health and Nursing Research Paper. Topic: Treatment of Hypoglycemia in Newborns Order Description Paper contains an introduction describing the overall purpose and goals of the paper.
I saw a great need for all staff to be aware of the signs and symptoms of hypoglycemia and its treatment. Thus arose my concern for a standardized policy/procedure/protocol for the recognition of the s/s and safe treatment for hypoglycemia by staff.
Nursing Practice Requires Change In Hospital Hypoglycemia Treatment Nursing Essay. Print Reference this. Published: 23rd March, Furthermore, data collection concerning the effectiveness, problems, and cost of the current in-hospital hypoglycemia treatment will be performed.
These data will be compared to the anticipated costs and. Let us write or edit the essay on your topic "Managing hypoglycemia in primary care as a practice nurse" with a personal (“Managing hypoglycemia in primary care as a practice nurse Essay”, n.d.) vocational and advanced practice nursing, setting the requirements to obtain a nursing license, limiting use of the title, “nurse” and.
Nursing Practice Requires Change In Hospital Hypoglycemia Treatment Nursing Essay In the hospital setting, as nurses are in frequent contact with patients, family, and other health care providers, they are often the first professional to.Download