This document provides instructions for performing a blood glucose test using a glucometer. It outlines the necessary equipment, including a glucometer, test strips, lancet, alcohol wipes and gauze. The steps include washing hands, selecting a puncture site, warming the hands, turning on the glucometer, inserting a test strip, cleaning and puncturing the site, applying blood to the strip, and recording the results. The process takes 10-15 minutes to complete.

1. Presented by-
Harsh Rastogi
M.Sc. Nursing 1st year,
King George’s Medical University,
Institute of Nursing,
Lucknow.

2. Assessment:
1. Review the physician’s order for glucosemonitoring
2. Identify which type of equipment is available at your facility
3. Review the client’s medical history fordiabetes, any visual
impairment, oral anticoagulanttherapy
4.Determine if the test requires special timing, (Before or after
meals)
5. Assess the client’sor caregiver’s ability to manage theequipment
and perform the test accurately if the care will be provided at home

3. 6. Assess the client’s understanding of the rationale for the
test and the importance of accurate results.
Determine the client’s willingness to perform the test schedule
will be incorporated into the client’s daily routine
7. Assess the client’s sites for skin puncture

4. NursingDiagnosis:
Anxiety or fear related to the procedure of skinpuncture
Anxiety related to a diagnosis ofdiabetes
Risk for impairedskin integrity related to thediagnosis
Disturbed Sensory Perception related to visual acuity or
sensorium

5. Planning:
ExpectedOutcomes
1. Bloodglucoselevelismaintainedwithinanormalrange.
2. Clientorcaregiverdemonstrateaccurateperformanceofthe
procedure.
3. Clientverbalizesanunderstandingof theimportanceof thetest
and theneedforaccurateresults.
4.Clientverbalizesminimalanxietyassociatedwiththeprocedure.
5. Skinpuncturesiteremainfreeofsignsandsymptomsof infection.

6. EquipmentNeeded
• Reagent strips
• Disposable Gloves
• Lancet or automatic lancingdevice
• Papertowels
• Alcoholwipe
• 2x2gauze
• Cotton ball
• Blood glucosemeter

7. Implementation

10. Evaluation:
Reinspect the puncture site for bleeding or tissueinjury
Comparethe glucosereadingwith client’s previousglucose results
Comparethe client’s resultswith normal bloodglucose levels
Ask the client to explain the importance of theresults
Ask the client to return demonstrate the procedure withthe
next scheduled test

11. Documentation:
Glucosetestresults
Procedureandsiteused
Appearanceof thepuncturesite
Client’sresponseto the procedure(headache,nausea,etc)
Abnormalresultsreportedtothephysician
Client’sunderstandingofthe procedureandability to thetechnique
Medicationrecord
Dateandtimeinsulinwasadministered

13. Time Required: 10 to 15 minutes
Here's How:
1.) First, set out your glucometer, a test strip, a
lancet and an alcohol prep pad.
2.) Wash your hands to prevent infection.
3.) Decide where you are going to obtain the blood
from, usually a finger. Some of the newer monitors
let you use your forearm or another less sensitive
place.

14. 4.) Sometimes it helps to warm your hands first to
make the blood flow easier. You can rub your
hands together briskly or run them under warm
water.
5.) Turn on the glucometer and place a test strip
in the machine when the machine is ready.
Watch the indicator for placing the blood to the
strip.
6.) Make sure your hand is dry and wipe the area
you've selected with an alcohol prep pad and wait
until the alcohol evaporates.

15. 7.) Pierce your finger tip on the soft, fleshy
pad and obtain a drop of blood. The type of
drop of blood is determined by the type of
strip you are using (some use a "hanging
drop" of blood versus a small drop for strips
that draw blood in with a capillary action).
8.) Place the drop of blood on or at the side
of the strip.

16. 9.) The glucometer will take a few moments
to calculate the blood sugar reading. Follow
your doctor's orders for whatever blood
sugar reading you get.
10.) You may use the alcohol prep pad to
blot the site where you drew the blood if it is
still bleeding.

17. 11.) Write down your results. Keeping a
record makes it easier for you and
your doctor to establish a good
treatment plan. Some glucometers
can store your results in a memory, for
easier record keeping.