diabetes emergency checklists

Upload: chieflittlehorse

Post on 05-Apr-2018

216 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/31/2019 Diabetes Emergency Checklists

    1/10

    From A Child in Your Care Has Diabetes. A Collection of Information. Copyright 2005 by Elisa Hendel, M.Ed.

  • 7/31/2019 Diabetes Emergency Checklists

    2/10

    A Chi ld in Your Care has Diabetes . A Co l lect ion of Informat ion .

    Copyr i ght 2005 by E l i sa Hendel , M.Ed .

    Hyperglycemia High Blood Sugar

    * Hyperglycemia occurs when the blood sugar level becomes too high.High Blood Sugar = Blood Sugar (greater than)> 200 mg/dl.

    * High blood sugar can be caused by: not enough insulin, too much food, illness, inactivity orstress.

    * High blood sugar generally develops over a longer period of time.

    * Individuals may display an assortment of symptoms.

    Symptoms of High Blood Sugar may include:

    frequent urination increased thirst increased hunger lethargy

    blurry Vision stomachache nausea confusion

    Severe diabetic complications develop slowly, over several hours or days.Ketoacidosis = High blood glucose with a disturbance in the bodys chemical balance.

    Life Threatening

    - unconsciousness

    - diabetic coma

    * At the onset of any symptoms, test blood sugar.

    * Treat high blood sugar immediately.

    * If symptoms are displayed and a glucose meter is not available. Treat the potential high!* If blood sugar is over 240 mg/dl, check for ketones.

    * Ketones are the breakdown products of fat metabolism.

    *

    A ketone test should be performed in the nurses office. Urine is collected in a cup. Then, a

    special strip is dipped into the cup of urine. In approximately 15 seconds, the strip will change

    color. Use the packaging to read the results.

    *If the individual has HIGH blood sugar and ketones: contact the school nurse and family

    immediately. Drink water or sugar free drinks, 1 - 2 cups per hour. (no regular soda or juice)

    * Do NOT exercise if blood sugar is > 250 mg/dl and ketones are present.Do NOT exercise if blood sugar is > 350 mg/dl with or without ketones.

    *High blood sugar can be a warning that this individual is getting sick. Notify the school nurse of

    this condition. Notify a parent/a caretaker of this condition

  • 7/31/2019 Diabetes Emergency Checklists

    3/10

    A Chi ld in Your Care has Diabetes . A Co l lect ion of Informat ion .

    Copyr i ght 2005 by E l i sa Hendel , M.Ed .

    Hypoglycemia Low Blood Sugar

    * Hypoglycemia is a very serious condition - it is often referred to as,

    Low Blood Sugar = usually Blood Sugar (less than)

  • 7/31/2019 Diabetes Emergency Checklists

    4/10

    A Chi ld in Your Care has Diabetes . A Co l lect ion of Informat ion .

    Copyr i ght 2005 by E l i sa Hendel , M.Ed .

    Important Phone Numbers

    Name:

    Address:

    School / Grade:

    Date:

    Name Number

    Parent

    Home Phone

    Parent

    Home Phone

    Parent

    Cell Phone

    Parent

    Cell Phone

    Parent

    Work Number

    Parent

    Work Number

    Doctor

    Diabetes Team

    Emergency

    Contact

    Insurance

    Company

  • 7/31/2019 Diabetes Emergency Checklists

    5/10

    A Chi ld in Your Care has Diabetes . A Co l lect ion of Informat ion .

    Copyr i ght 2005 by E l i sa Hendel , M.Ed .

    General Diabetes Information

    Name:

    Address:

    School / Grade:

    Date:

    Type of Glucose Meter

    *Include Serial Number

    Blood Sugar Testing

    Information

    Can child perform own test? Yes No

    Adult Supervision needed? Yes No

    Insulin

    Information

    Can child inject insulin? Yes No

    Adult Supervision needed? Yes No

    Meals & Snacks

    Additional

    Information

  • 7/31/2019 Diabetes Emergency Checklists

    6/10

    A Chi ld in Your Care has Diabetes . A Co l lect ion of Informat ion .

    Copyr i ght 2005 by E l i sa Hendel , M.Ed .

    Diabetes Supplies for Home & School

    It is the responsibility of the parent/caretaker of the child with diabetes to:

    ~

    ~

    ~

    Supply the school with all diabetes supplies.

    Check all expiration dates for food and prescriptions.

    Check monthly to see if additional supplies are needed.

    Diabetes Supplies Diabetes Supplies

    Glucose Meter Glucagon Emergency Kit

    Control Solution for Meter Drinks

    Batteries for Meter Snacks

    Test Strips for Meter Glucose Tablets, Glucose Gel

    Lancing Device and Lancets Medical Orders (from Doctor)

    Insulin Health Care Plan

    Insulin Delivery Supplies School Plan (504 Plan)

    Ketone Strips Medical Identification

  • 7/31/2019 Diabetes Emergency Checklists

    7/10

  • 7/31/2019 Diabetes Emergency Checklists

    8/10

    A Chi ld in Your Care has Diabetes . A Co l lect ion of Informat ion .

    Copyr i ght 2005 by E l i sa Hendel , M.Ed .

    Blood Sugar Log

    Name:

    Address:

    School / Grade:

    Date:

    Day Date Time Blood Sugar mg/dl Insulin Dosage

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F SaSu M T W Th F Sa

    Su M T W Th F Sa

    Su M T W Th F Sa

  • 7/31/2019 Diabetes Emergency Checklists

    9/10

    A Chi ld in Your Care has Diabetes . A Co l lect ion of Informat ion .

    Copyr i ght 2005 by E l i sa Hendel , M.Ed .

    Glucagon Emergency Kit for Severe Hypoglycemia

    ~ A Glucagon Emergency Kit consists of a syringe filled with liquid, which must to be mixed with a powder.The kit comes with all necessary ingredients.

    ~ It is only used in the case of a Severe Hypoglycemic Emergency. Signs may include: disorientation,unconsciousness, seizures and an inability to swallow.

    ~ Anyone can be trained to administer this emergency shot. Detailed instructions are inside each kit.~ Glucagon does NOT contain glucose or sugar. It is a natural hormone that sends a message to the liver or

    muscles to release stored sugar into the bloodstream.

    ~ If sugar storage is very low, one shot of Glucagon may not work-another shot may be needed.

    ~ Contact emergency medical services 9-1-1 REQUEST A PARAMEDIC!

    Step-by-Step Glucagon Instructions

    1. Inject the entire liquid contents of the syringe, into the small bottle. (Liquid into powder).

    Swirl contents in the bottle until mixture is fully dissolved.

    2. Use the same syringe, hold bottle upside down. Put the syringe into the bottle and withdraw all liquid.

    3. Turn the individual on their side as he/she may vomit.

    4. Inject the Glucagon syringe into the arm, leg or buttocks.

    5. If the individuals' condition does not improve, a 2nd shot may be necessary.

    6. Once the individual is feeling better, a snack with carbohydrates and protein is suggested.

    7. **For children 50 pounds and under ask your doctor for specific instructions.

  • 7/31/2019 Diabetes Emergency Checklists

    10/10