Diabetes
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This document provides information about diabetes, including signs and symptoms of low and high blood sugar, the use of glucagon to treat severe hypoglycemia, and procedures for administering glucagon. It explains that diabetes prevents the body from properly using blood sugar, and that most children with diabetes have type 1 and require insulin injections. It also outlines steps for administering glucagon, such as mixing the powder with liquid and injecting it intramuscularly, and actions to take after injection like calling 911 and giving the person juice to drink.
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This document provides guidelines for assessing and managing children presenting with coma or convulsions. It outlines how to assess a child's level of consciousness using the AVPU scale and determine if they are in coma or actively convulsing. It describes positioning a comatose child in the recovery position, performing a log roll if trauma is suspected. Procedures for inserting an oropharyngeal airway, suctioning, administering diazepam rectally or intravenously to stop convulsions, and providing supportive care are explained. Indications for referral include uncontrolled seizures despite multiple anticonvulsant medications, head trauma, or if the cause of coma/convulsions cannot be determined or
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This document provides guidance for telephone advice to parents regarding diabetes-related queries about their children. It outlines protocols for handling urgent calls about hypoglycemia and intercurrent illness, as well as less urgent questions. Specific guidance is given on treating hypoglycemia, managing diabetes during illness, adjusting insulin doses, and addressing hyperglycemia. The document emphasizes safety, consistent advice, and encouraging follow-up as needed with diabetes specialists. It aims to standardize telephone support for parents while their children's diabetes is discussed remotely.
Diabetes Information Power Point
This document provides information on diabetes in children and adolescents for nurses. It discusses the types of diabetes, signs and symptoms, treatment including insulin types and dosing, management goals, and guidelines for hyperglycemia, hypoglycemia, diet, exercise, and sick days. The importance of frequent monitoring, education, and documentation for optimal diabetes management in pediatric patients is emphasized.
Management of Sever Acute Malnutrition.pptx
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- Management of severe acute malnutrition involves three phases - an initial inpatient stabilization phase using formula F75, a transition phase using formulas F100 or RUTF, and an outpatient or continued inpatient treatment phase using RUTF. Children are assessed for medical complications and appetite to determine inpatient vs outpatient management.
Assessment of knowledge and practice of diabetic patients towards insulin t...
This study assessed the knowledge and practices of diabetic patients on insulin therapy in Khartoum, Sudan. It surveyed 385 diabetic patients across several hospitals and clinics. The study found that most patients injected insulin into their thighs or arms but that many did not properly change injection sites. It also found that while most knew the symptoms of low blood sugar, many did not correctly understand how to prepare an insulin dose or the proper injection technique. The study recommends better educating patients about disease management, insulin preparation and administration, storage, and expiration dates to improve outcomes.
Diabetic care
This document provides guidance for staff on caring for students with diabetes in schools. It defines the two main types of diabetes, describes symptoms of high and low blood sugar, and outlines appropriate treatments. It also explains how to check blood sugar levels, administer insulin injections using syringes or pens, and properly dispose of medical waste. The goal is to ensure staff can safely manage students' diabetes needs.
presentation on gastrostomy and jejunostomy feeding
This document provides information about gastrostomy and jejunostomy feeding. It begins by defining an ostomy as a surgical opening from an organ to the outside of the body. It then describes how tubes can be placed through the abdominal wall to access the stomach, duodenum, or jejunum for feeding. The two main types of enteral tube feeding are gastrostomy, which creates an opening into the stomach, and jejunostomy, which creates an opening into the jejunum. Indications, types of feeding schedules, procedural steps, common problems, and nursing responsibilities are outlined. The conclusion emphasizes the importance of educating caregivers on caring for patients with enteral tubes to prevent problems.
Diabetes Home Care Management
The document provides guidelines for home care management of diabetes, including diet, exercise, medication, eye care, and foot care. The dietary goals are to improve blood glucose and lipid levels, provide consistent nutrition, and facilitate weight management. Exercise is recommended to lower blood glucose and improve health, but blood sugar levels should be monitored before and after. Medication education covers oral hypoglycemics and insulin. Patients should be taught signs of hypo- and hyperglycemia and how to manage them. Eye care involves education on diabetic retinopathy and foot care focuses on skin inspection, hygiene, and prevention of injuries.
Git j club ped constipation21
1. The parents of a 2-year old boy are concerned about his constipation and straining to open his bowels. Initial treatment with macrogol for 2 weeks was stopped due to soiling and distress.
2. Constipation is common in toddlers and early intervention with laxatives can prevent problems. Explanation of constipation and supported treatment would help this child and family.
3. Laxatives like macrogol are recommended to treat constipation. Treatment may initially worsen soiling but aims to restore normal bowel function. Parents require education on use and expected duration of treatment.
Ng tube feeding
This document discusses nasogastric tube feeding and its nursing management. It begins by introducing NG tube feeding and its purposes, which include providing nourishment to patients who cannot feed themselves or be fed orally. It then covers indications for NG tube feeding, the necessary equipment, assessment steps, the procedure including feeding administration and aftercare, and complications to watch for. It also discusses gastrostomy and jejunostomy tube feeding procedures and their differences from NG tube feeding.
epilepsy-and-seizure-presentation.pdf
This document provides information about seizures, epilepsy, and how to support students with epilepsy at school. It defines seizures and epilepsy, describes different types of seizures, and outlines basic first aid procedures. Key points include that seizures are brief disturbances in brain electrical activity, epilepsy is a chronic neurological disorder involving frequent seizures, and common triggers include illness, stress, and missing medication doses. The document recommends classroom accommodations and considerations for students with epilepsy, as well as guidelines for providing first aid during seizures and knowing when to call emergency services.
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Diabetes
- 1. DDIIAABBEETTEESS--WWhhaatt YYoouu NNeeeedd ttoo KKnnooww
- 2. Illness that prevents the body from using food properly Not enough insulin Body doesn’t use insulin properly Most children have Type 1 And use insulin injections WWhhaatt iiss DDiiaabbeetteess
- 3. Low-shaking, sweaty, irritable or anxious, headache, hunger, weakness and fatigue High-drowsiness, hunger, extreme thirst, frequent need to use the rest room Signs of either-child needs to check blood sugar Student specific health plan with more details provided if you have a diabetic student SSiiggnnss aanndd SSyymmppttoommss ooff LLooww//HHiigghh BBlloooodd SSuuggaarr
- 4. Only if a written request is provided, the child may monitor his Diabetes in the classroom That includes checking the blood sugar and taking insulin (includes carrying syringes) NNeeww DDiiaabbeetteess LLaaww
- 5. A Diabetic student should carry Glucagon-injectable glucose used if blood sugar is too low If the student is self-managing, you may be asked to be a delegate to give the Glucagon, if the student can’t No one is required to be a delegate To be a delegate, you volunteer to the school nurse and you must be trained GGlluuccaaggoonn
- 6. • Naturally-occurring hormone made in the pancreas Raises blood glucose level by stimulating the liver to release stored glucose Used to treat severe hypoglycemia/low blood Sugar Is life-saving, cannot overdose WWhhaatt IIss GGlluuccaaggoonn??
- 7. Locations should be included in student’s IHP/IEHP Store at room temperature Monitor expiration date After mixing, dispose of any unused portion within one After mixing, dispose of any unused portion within one hour GGlluuccaaggoonn oorr GGlluuccaaGGeenn KKiitt SSttoorraaggee SSttoorraaggee
- 8. If a student with diabetes exhibits: • Unconsciousness, unresponsiveness • Convulsions (seizures) • Inability to safely eat or drink WWhheenn ttoo GGiivvee GGlluuccaaggoonn//GGlluuccaaggeenn
- 9. Act Immediately The school nurse or trained delegate will: Assess: airway breathing circulation and Symptoms Administer glucagon in accordance with the student’s IHP/IEHP Position student safely on his side and monitor If you are the delegate, you must act and not wait for the nurse PPrroocceedduurree::
- 10. If the responder is alone, call 911 then call for assistance from other school personnel. If others are immediately available, have them call 911 and contact the parents/guardians while the responder attends to the student. PPrroocceedduurree:: AAcctt IImmmmeeddiiaatteellyy
- 11. Remove flip-off seal from the glass vial containing dry powder. Remove needle protector from syringe. Put on gloves, if available. Inject entire fluid in syringe into the bottle containing the powder. Don’t take the syringe/needle out of the vial. Gently shake the vial in your hand until the powder has completely dissolved. The solution should be clear and colorless. PPrreeppaarraattiioonn ooff GGlluuccaaggoonn aanndd MMiixxiinngg SSoolluuttiioonn
- 12. Draw prescribed amount of glucagon back into syringe by pulling gently on the syringe plunger. The correct dosage is based on the child’s body weight. The correct dose can be taped inside the child’s kit for quick reference or on the label. Remove air from the syringe and tip of the needle. DDoossiinngg aanndd DDrraawwiinngg OOuutt
- 13. Inject at 90° into the tissue on the upper arm, thigh, or buttock. Maintain the student’s privacy as much as possible. IInnjjeeccttiinngg
- 14. Apply light pressure at injection site and withdraw needle. Do not recap syringe. Discard needle/syringe in a medical waste container. Be sure student is positioned on side as vomiting may occur. It may take 10-20 minutes for student to regain consciousness. 14. Wait for EMS to arrive. AAfftteerr IInnjjeeccttiinngg
- 15. Once student is awake and able to drink, give sips of fruit juice or regular soda. Document incident per district school health policy. Ensure that incidents that occur outside of the school day are recorded and submitted to the school nurse. AAfftteerr IInnjjeeccttiinngg
- 16. Student does not remember being unconscious, incoherent or has a headache. The blood glucose level becomes very high(over 200). Nausea or vomiting occurs. DDoonn''tt BBee SSuurrpprriisseedd IIff.. .. ..