Intravenous
Cannulation
A intravenous cannula is a flexible tube which when inserted
into the body is used either to withdraw fluid or insert
medication.
• IV Cannula normally comes with a trocar ( a sharp pointed
needle ) attached which allows puncture of the body to get
into the intended space.
Intravenous
Cannulation
A intravenous cannula is a flexible tube which when inserted
into the body is used either to withdraw fluid or insert
medication.
• IV Cannula normally comes with a trocar ( a sharp pointed
needle ) attached which allows puncture of the body to get
into the intended space.
Cardiac monitoring(presentation ) for medical studentsNehaNupur8
presentation on cardiac monitoring , different tools and mechanism used for monitoring one of the vital organ of our body that is heart. specially for medical students, made by basic bsc students of nursing
Sitz bath is most commonly performed procedure in relevance to better wound healing through vasodilation effect. Lets see the Healing power of water
its is commonly performed to postnatal primigravida mothers for healing of perineal lacerations or tears or episiotomy.
Intensive insulin therapy is best defined as a comprehensive system of diabetes management with the patient and management team as partners. The system is directed at improvement of glycemia and patient well-being.
Cardiac monitoring(presentation ) for medical studentsNehaNupur8
presentation on cardiac monitoring , different tools and mechanism used for monitoring one of the vital organ of our body that is heart. specially for medical students, made by basic bsc students of nursing
Sitz bath is most commonly performed procedure in relevance to better wound healing through vasodilation effect. Lets see the Healing power of water
its is commonly performed to postnatal primigravida mothers for healing of perineal lacerations or tears or episiotomy.
Intensive insulin therapy is best defined as a comprehensive system of diabetes management with the patient and management team as partners. The system is directed at improvement of glycemia and patient well-being.
Blood Sugar (Glucose) Measurement, Monitoring and Data Analysis: A Review on ...Md Kafiul Islam
The presentation reviews the recent development in non-invasive blood sugar measurement and monitoring techniques, their pros and cons, comparative analysis and the key challenges in implementing such technique in continuous and regular health monitoring for wearable biomedical device technology
These slides use concepts from my (Jeff Funk) course entitled Biz Models for Hi-Tech Products to analyze the business model for Infra V’s Smart Watch. This watch can continuously monitor glucose using a non-invasive spectrometric process, which enables better management of diabetes through more timely insulin injections. The watch replaces the widely used finger-pricking method that is painful for users and thus discourages effective monitoring of a patient’s glucose levels. The watch is also smaller and cheaper than other methods of continuous monitoring. These slides describe the specific value proposition for patients and doctors other aspects of the business model such as the method of value capture, scope of activities, and method of strategic control.
A blood glucose test measures the level of glucose (sugar) in your blood. The test can involve a finger prick or a blood draw from your vein. Healthcare providers most commonly use blood glucose tests to screen for Type 2 diabetes, which is a common condition.
It includes information about Hybrid closed loop insulin delivery system-Artificial Pancreas.Its details and how insulin pump develops with the time.It also includes the information about companies which manufacturing pumps.Also includes info about diabetes mellitus.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
1. Pickaway-Ross Medical Careers IIPickaway-Ross Medical Careers II
Diabetes MellitusDiabetes Mellitus
Symptoms, Treatment, Crisis
&
Measuring Blood Glucose Levels
2. Key TermsKey Terms
Diabetes Mellitus (sugar diabetes) is a disease in
which the body cannot produce or use insulin
properly.
Insulin is a hormone produced by the pancreas that
allows the glucose in the blood stream to enter into
cells to be used as energy.
3. ObjectivesObjectives
Distinguish between the types of diabetes mellitus.
Identify signs and symptoms of diabetes mellitus.
Describe risk factors for diabetes mellitus.
Explain the complications of diabetes mellitus
Discuss treatment of diabetes mellitus.
Recognize the signs and symptoms hypo and
hyperglycemia
Identify nurse aide actions to treat hypo and
hyperglycemia .
Demonstrate blood glucose monitoring procedure.
Measure and document accurate blood glucose.
Employ standard of care for diabetic clients
4. Diabetes Mellitus: TypesDiabetes Mellitus: Types
Named according to age of onset & need for insulin
Type I
Usually occurs early in life (children, teens, & young
adults)
Rapid Onset
Pancreas produces little or no insulin
Insulin dependent
More severe
Higher risk of complications
•Live longer with disease
5. Diabetes Mellitus: TypesDiabetes Mellitus: Types
Type II (Non-insulin dependent)
Adult-onset; typically obese
Can occur at any age
Slow onset
Controlled with diet and/or oral medications that
stimulate the pancreas to secrete insulin
Can become insulin dependent (Type I)
Gestational Diabetes
Diabetes develops during pregnancy
Typically goes away after pregnancy
Higher risk for Type II later in life
6. Signs & SymptomsSigns & Symptoms
1. Excessive thirst (polydipsia)
2. Excessive urination (polyuria)
3. Increased frequency in eating (polyphagia)
4. Recent loss of weight (without trying/dieting)
5. Delayed healing in wounds
6.Dry, itchy skin
7.Losing feeling or tingling in the feet
8.Blurred vision
9.Fatigue
7. Risk FactorsRisk Factors
Family History of the disease
Type I
Whites
Type II
Older
Overweight
African-American
Native Americans
Hispanics
9. TreatmentTreatment
Goal: Control of diet, exercise and medication.
Type I
Daily insulin therapy
Healthy eating
Exercise
Type II
Healthy eating
Exercise
Oral medications
Compliance by the patient and regular glucose monitoring
help keep the balance of treatment.
10. InsulinInsulin
Given as a subcutaneous injection by RN,
allows the body to use glucose
Types of insulin - long lasting or short acting
Insulin injections are timed to peak during meal
time and after meals
A patient may receive several types of insulin
Blood sugars regulate the amount of insulin ordered
Normal blood sugar levels: 70 - 110 mg/dl
11. Hyperglycemia: High Blood SugarHyperglycemia: High Blood Sugar
Too much food, too little insulin, stress or illness
Undiagnosed Diabetes
Onset may be gradual
Symptoms
1. Extreme thirst/dry mouth
2. Frequent urination
3. Dry skin
4. Hunger
5. Blurred vision
6. Drowsiness
7. Nausea
Can progress to DIABETIC COMA
12. Hyperglycemia: Diabetic ComaHyperglycemia: Diabetic Coma
Ketoacidosis (DKA)
Blood sugar - 250 mg/dl or above
Symptoms
1. Extreme dry mouth/thirst
2. Sweet or fruity odor to the breath (Juicy Fruit)
3. Nausea and/or vomiting
4. Weakness or dizziness
5. Confusion
6. Rapid, deep respirations
7. Drowsiness
8. Dry, flushed skin
Eventually lose consciousness/die without tx
13. Hyperglycemia: Diabetic ComaHyperglycemia: Diabetic Coma
Treatment
Place in a position of comfort
Monitor respirations
Need immediate medical treatment
•Fluid Replacement
•Electrolyte Replacement
•Insulin Therapy
16. Hypoglycemia – Insulin ShockHypoglycemia – Insulin Shock
Treatment
Restore blood sugar levels to normal ASAP
Conscious
•Drink fruit juice or sugared (not diet) soda
•Eat sugar in form of candy, cubes or tablets
Unconscious
•Requires immediate emergency care
•Glucagon injection
1.
17. Specimen Collection - PlanSpecimen Collection - Plan
Standard precautions
Required prerequisites for test i.e., fasting
Organization of equipment
18. Specimen Collection - ProcedureSpecimen Collection - Procedure
1. Correct patient
2. Explanation & teaching (patient & family)
- provide clear explanations
3. Prepare client and environment
4. Obtain specimen
Right patient
Right amount of specimen
Right time
19. General GuidelinesGeneral Guidelines
Understand that collection of specimen may cause
anxiety, embarrassment, or discomfort
Provide support for the patient
Children may benefit from support from parents
or care providers during specimen collection
Aseptic technique for collection of all specimens
Know facilities policies and procedures
Be aware of deviations from normal values that
may occur as a result of certain medications or
diet
20. Glucose TestingGlucose Testing
Glucose testing may be done by urine or blood
Blood testing more accurate & has replaced urine
Frequency- ordered by physician
1. Fasting
2. 30 minutes prior to meals (AC)
3. 2 hours after meals (PC)
4. Bedtime (HS)
21. Glucose TestingGlucose Testing
Blood Tests:
1. Venipuncture
2. Capillary blood by skin puncture
Capillary blood is desirable:
When venipuncture cannot be performed
When reducing the frequency of needle sticks
in desired & less painful
22. Measuring Blood GlucoseMeasuring Blood Glucose
The ease of a skin puncture makes the procedure
possible for patients to perform at home
Skin puncture performed by a hand held lancet or
an automatic lancet device
Self-testing can be performed by two methods:
1. Reading a reagent strip
2. Use of a reflectance meter (Accucheck)
Both methods require a large drop of blood
Follow manufacturer’s instructions
23. Finger Stick SitesFinger Stick Sites
Sites for skin punctures: finger tips, ear lobes,
and heels (infants)
Finger tips most common
Avoid sites that are swollen, bruised, cyanotic,
scarred, or calloused (poor blood flow)
Callouses are frequent on the thumb & index
finger
Preferred fingers - middle & ring finger
Use the side of finger
25. Performing Skin PuncturePerforming Skin Puncture
Standard precautions
Have patient wash hands & position comfortably
Assemble equipment & open lancet or lancet
device & alcohol wipes
Calibrate meter according to instructions
Donn clean gloves
Inspect patient’s fingers
Warm site if cold (rub or apply warm wash cloth)
26. Performing Skin PuncturePerforming Skin Puncture
Hold finger with thumb and forefinger in a
dependent position & massage gently toward
puncture site
Clean site with alcohol (allow site to dry)
Place lancet device against side of finger & push
release button (hold lancet perpendicular to
site & pierce site in one continuous movement)
27. Performing Skin PuncturePerforming Skin Puncture
Wipe away first drop of blood
First drop usually contains a large amount of
serous fluid
Lightly squeeze site to allow a large drop of blood
to form
28. Blood Glucose TestBlood Glucose Test
Reagent strip - Check strips for expired dates;
place large drop of blood on strip and time
according to instructions
Glucose meter:
Be sure meter is calibrated properly (coding)
Perform control testing according to policy
Place large drop of blood on reagent strip
Press meter timer (many machines have
automatic timers)
Apply pressure to site until bleeding stops
Discard lancet in sharps container
29. Urine Testing for GlucoseUrine Testing for Glucose
Easy to perform and painless
Double-voided specimen for best results
Certain medications can cause false positives i.e.,
tetracyclines, sulfonamides, ascorbic acid
Dip reagent strip (check for expired dates) into
urine. Compare to color chart, reading at
designated time
Follow manufacture instructions
30. DocumentationDocumentation
Report results to RN immediately
Document (diabetic flow record)
Time specimen was collected
Site used
Test results
Patient tolerance of procedure
Other observations or patient complaints
31. Care of Diabetic PatientsCare of Diabetic Patients
The Patient Care Assistant:
•Accurate recording of vital signs
•Blood tests performed as ordered
•Accurate bedside testing
•Dietary trays delivered on time
•Correct diet & correct food
•Accurate I&O
•Notify RN if patient does not eat, NPO for
tests, observation of signs & symptoms,
patient complaints, test results