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POINT OF CARE
Prepared by: Reeva Trisha Declarador, RN
Reviewed & Revised by: Nursing Education Team
Objectives:
 Define indications for blood glucose monitoring
 Recognize the HYPO and HYPER-glycemia
 Distinguish between normal and abnormal blood glucose
level
 Demonstrate the steps in the use of Glucometer
 Measure and document accurate blood glucose.
INTRODUCTION
Point of Care Testing
What is it used for?
• use to find out if your blood sugar
levels are in the healthy range.
• use to help diagnose and monitor
diabetes.
Why do I need a blood glucose
test?
To test if you have
symptoms of high glucose
levels (hyperglycemia) or
low glucose levels
(hypoglycemia).
A blood glucose test measures
the glucose levels in your blood.
Hypoglycemia
is low blood sugar
Hyperglycemia
is high blood sugar
Blood Glucose Meter
• is a small, portable machine that's
used to measure how much glucose (a
type of sugar) is in the blood (also
known as the blood glucose level).
 Glucometer
 Lancet
 Strips
 Alcohol swab
 Gauze/Cotton balls
 Gloves
Sites for skin puncture:
finger tips, ear lobes, and
heels (infants)
Avoid sites that are
swollen, bruised, cyanotic,
scarred, or calloused (poor
blood flow)
Preffered fingers - middle
and ring finger
Use the side of finger
Blood 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 drop of blood on reagent strip
Apply pressure to site until bleeding stops
Discard lancet in sharps container
*The following messages may mean there is a blood glucose result that
requires immediate attention or there may be a problem with the test
strip:
• LO = the blood glucose may be lower than 20 mg/dL (1.1 mmol/L).
• HI = the blood glucose may be higher than 500 mg/dL (27.8 mmol/L).
• Test. Error E-3 = there may be a test error.
• Test Error E-4 = the blood glucose may be too high to be read by the
system.
• If any of these messages show, check that the meter is calibrated
correctly and repeat the test with a new test strip.
Vida System
* Diabetic Chart
1. Date and Time
2. Test Type (Random / Fasting)
3. Result Type ( Blood Glocuse - Glucometer)
4. Result Value
5. Intervention
6.Remarks
Glucocheck Chart
Nurse Progress Note
References:
• https://www.youtube.com/watch?v=WesmHHYQvjm
• Schnell, Z., Leuman, A.M & Kranpitz T.R 2003 and Diagnostic Test. IN L.B Deitch, G.
Services & L. Collins (Eds). Philadelphia: F.A. Davis
Glucose_monitoring.pptx

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Glucose_monitoring.pptx

  • 1. POINT OF CARE Prepared by: Reeva Trisha Declarador, RN Reviewed & Revised by: Nursing Education Team
  • 2. Objectives:  Define indications for blood glucose monitoring  Recognize the HYPO and HYPER-glycemia  Distinguish between normal and abnormal blood glucose level  Demonstrate the steps in the use of Glucometer  Measure and document accurate blood glucose.
  • 4. What is it used for? • use to find out if your blood sugar levels are in the healthy range. • use to help diagnose and monitor diabetes. Why do I need a blood glucose test? To test if you have symptoms of high glucose levels (hyperglycemia) or low glucose levels (hypoglycemia). A blood glucose test measures the glucose levels in your blood.
  • 5. Hypoglycemia is low blood sugar Hyperglycemia is high blood sugar
  • 6. Blood Glucose Meter • is a small, portable machine that's used to measure how much glucose (a type of sugar) is in the blood (also known as the blood glucose level).
  • 7.  Glucometer  Lancet  Strips  Alcohol swab  Gauze/Cotton balls  Gloves
  • 8. Sites for skin puncture: finger tips, ear lobes, and heels (infants) Avoid sites that are swollen, bruised, cyanotic, scarred, or calloused (poor blood flow) Preffered fingers - middle and ring finger Use the side of finger
  • 9. Blood 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 drop of blood on reagent strip Apply pressure to site until bleeding stops Discard lancet in sharps container
  • 10. *The following messages may mean there is a blood glucose result that requires immediate attention or there may be a problem with the test strip: • LO = the blood glucose may be lower than 20 mg/dL (1.1 mmol/L). • HI = the blood glucose may be higher than 500 mg/dL (27.8 mmol/L). • Test. Error E-3 = there may be a test error. • Test Error E-4 = the blood glucose may be too high to be read by the system. • If any of these messages show, check that the meter is calibrated correctly and repeat the test with a new test strip.
  • 11. Vida System * Diabetic Chart 1. Date and Time 2. Test Type (Random / Fasting) 3. Result Type ( Blood Glocuse - Glucometer) 4. Result Value 5. Intervention 6.Remarks Glucocheck Chart Nurse Progress Note
  • 12. References: • https://www.youtube.com/watch?v=WesmHHYQvjm • Schnell, Z., Leuman, A.M & Kranpitz T.R 2003 and Diagnostic Test. IN L.B Deitch, G. Services & L. Collins (Eds). Philadelphia: F.A. Davis