cold weather hypothermia hypothermia hypothermia –when the body’s temp drops below 95...
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Cold WeatherCold Weather
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HYPOTHERMIAHYPOTHERMIA
HypothermiaHypothermia– When the body’s temp drops below 95When the body’s temp drops below 95– Symptoms: shivering, slurred speech, Symptoms: shivering, slurred speech,
confusion, loss of motor control and confusion, loss of motor control and memorymemory
TXTX– Warm up! Get out of wet clothes Warm up! Get out of wet clothes – No improvement in 10 minutes? –No improvement in 10 minutes? –
EMS!EMS!
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FrostbiteFrostbite
The freezing of skin and other tissues The freezing of skin and other tissues that results in reduced blood flowthat results in reduced blood flow– Permanent damage to the tissuePermanent damage to the tissue
Symptoms:Symptoms:– Aching, tingling, numbness, Aching, tingling, numbness,
white/grayish skin that is hard and white/grayish skin that is hard and crustycrusty
TXTX– SLOWLY warm the affected body partSLOWLY warm the affected body part
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Medical ConditionsMedical Conditions
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What is Diabetes?What is Diabetes?
Chronic DiseaseChronic Disease Inability to produce or use insulinInability to produce or use insulin Different Types: Different Types:
– Type IType I– Type IIType II– Insulin
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Signs and SymptomsSigns and Symptoms
ThirstThirst UrinationUrination HungerHunger WeightWeight Fatigue & lethargyFatigue & lethargy Blurred vision, headacheBlurred vision, headache Nausea, vomiting, abdominal painNausea, vomiting, abdominal pain
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Controlling DiabetesControlling Diabetes
80-120 normal range80-120 normal range Balance food, exercise and insulinBalance food, exercise and insulin Test with glucometerTest with glucometer
– Before meals Before meals – At bedtimeAt bedtime– When symptomaticWhen symptomatic– Before/after exerciseBefore/after exercise
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DIABETES TREATMENTDIABETES TREATMENT
Meal planning – counting Meal planning – counting carbohydratescarbohydrates
Insulin administrationInsulin administration– InjectionInjection– PenPen– PumpPump
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Too much insulinToo much insulin More exercise than usualMore exercise than usual Not enough foodNot enough food
– Missed snack or mealMissed snack or meal
OnsetOnset– SuddenSudden– Can lead to unconsciousness Can lead to unconsciousness
and/or seizuresand/or seizures
HYPOGLYCEMIAHYPOGLYCEMIA
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Symptoms of HypoglycemiaSymptoms of Hypoglycemia
Shakiness and/or tremblingShakiness and/or trembling PalenessPaleness SweatingSweating Rapid pulseRapid pulse HungerHunger Irritability, cryingIrritability, crying
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Symptoms of HypoglycemiaSymptoms of Hypoglycemia
Poor coordinationPoor coordination DizzinessDizziness Fatigue, sleepinessFatigue, sleepiness HeadacheHeadache Slurred speechSlurred speech Lack of concentration, Lack of concentration,
daydreamingdaydreaming
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Treating HypoglycemiaTreating Hypoglycemia
Follow care planFollow care plan Do not leave child aloneDo not leave child alone Test blood glucoseTest blood glucose Give fast-acting glucoseGive fast-acting glucose
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TreatingTreating HypoglycemiaHypoglycemia
Rest 15 minutes under Rest 15 minutes under observationobservation
Recheck blood sugarRecheck blood sugar If BS still If BS still repeat Rxrepeat Rx If BS normal give snack in 30 If BS normal give snack in 30
minutesminutes
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TreatmentTreatment for Hypoglycemiafor Hypoglycemia
1 tube glucose gel1 tube glucose gel Cake icing in a Cake icing in a
tubetube 3 glucose tablets 3 glucose tablets Fruit juice: 4-6 ozFruit juice: 4-6 oz Soda (not diet): 4-6 Soda (not diet): 4-6
oz oz 5 Sugar cubes 5 Sugar cubes 1 pack of sugar1 pack of sugar
5 Lifesavers5 Lifesavers 2-3 hard candies2-3 hard candies 1 Fruit Roll-Up 1 Fruit Roll-Up 1 box of raisins 1 box of raisins
(2 oz.) (2 oz.) 2 small cookies 2 small cookies 2 teaspoon 2 teaspoon
honeyhoney
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Complex Snacks:Complex Snacks:Slow Acting CarbohydrateSlow Acting Carbohydrate
MilkMilk 1/2 meat/cheese or 1/2 meat/cheese or
peanut butter peanut butter sandwichsandwich
4-5 Crackers with cheese 4-5 Crackers with cheese or peanut butter or peanut butter
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What CausesWhat Causes Hyperglycemia? Hyperglycemia?
Too much foodToo much food Too little insulin or oral medicationToo little insulin or oral medication Illness/infectionIllness/infection Stress Stress Expired insulin Expired insulin
OnsetOnset– Gradual Gradual – Can progress into comaCan progress into coma
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Symptoms of HyperglycemiaSymptoms of Hyperglycemia
Frequent Frequent urinationurination
Excessive thirstExcessive thirst Fatigue, Fatigue,
weaknessweakness Blurred visionBlurred vision Dry skinDry skin
HungerHunger NauseaNausea Stomach acheStomach ache Poor Poor
concentrationconcentration HeadacheHeadache
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Treating Treating HyperglycemiaHyperglycemia
Follow care Follow care planplan
Check blood Check blood sugarsugar
If blood sugar is If blood sugar is over acceptable over acceptable limits notify limits notify parent.parent.
Encourage a lot Encourage a lot of waterof water
Exercise maybe Exercise maybe acceptable if acceptable if ketones are ketones are notnot present (check present (check plan)plan)
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REVIEWREVIEW Give water if BS Give water if BS Encourage exercise per care plan Encourage exercise per care plan Never leave child alone & send to ClinicNever leave child alone & send to Clinic Give fast acting CHO if BS Give fast acting CHO if BS
– Recheck blood sugar in 15 minutesRecheck blood sugar in 15 minutes Keep extra fast-acting glucose in Keep extra fast-acting glucose in
area/classroom area/classroom When in doubt, When in doubt, GIVE SUGAR!GIVE SUGAR!
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Severe Allergic Severe Allergic Reactions Reactions
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What is anaphylactic What is anaphylactic shock?shock? A severe allergic reactionA severe allergic reaction A person is exposed to an allergenA person is exposed to an allergen The allergen enters the The allergen enters the
bloodstreambloodstream It releases chemicals that cause a It releases chemicals that cause a
histamine responsehistamine response Can result in death if not treated Can result in death if not treated
immediatelyimmediately
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What are people What are people allergic to?allergic to? Stings: fire Stings: fire
ants, bees, ants, bees, wasps, etc.wasps, etc.
Foods: Foods: peanuts, milk, peanuts, milk, soy, eggs, etc.soy, eggs, etc.
ExerciseExercise
LatexLatex SmokeSmoke Medications: Medications:
penicillin penicillin drugs, sulfa drugs, sulfa drugs, etc.drugs, etc.
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How long until we see How long until we see symptoms?symptoms?
May appear within a few seconds May appear within a few seconds or up to two hours after exposureor up to two hours after exposure
Time between exposure and Time between exposure and reactions lessens with each reactions lessens with each exposureexposure
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What symptoms do I What symptoms do I look for?look for? Mouth: itching, Mouth: itching,
swelling of swelling of lips,tongue,mouthlips,tongue,mouth
Throat: itching, Throat: itching, tightness, tightness, hoarsenesshoarseness
Skin: hives, Skin: hives, rash,swelling of face, rash,swelling of face, hands, feethands, feet
Emotions: impending Emotions: impending doom.doom.
Lungs: shortness of Lungs: shortness of breath, coughing, breath, coughing, wheezingwheezing
Abdomen: nausea, Abdomen: nausea, cramps, vomitingcramps, vomiting
Heart: “passing Heart: “passing out”, thready pulseout”, thready pulse
Head: headache, Head: headache, loss of loss of consciousnessconsciousness
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TreatmentTreatment
Epipen or Epipen Jr.Epipen or Epipen Jr. Works directly on the heart and lungsWorks directly on the heart and lungs Reverses possible fatal effects of an Reverses possible fatal effects of an
allergic reactionallergic reaction Constricts blood vessels, relaxes musclesConstricts blood vessels, relaxes muscles Reverses swelling and stimulates the Reverses swelling and stimulates the
heartbeat.heartbeat. Opens the airway, speeds the flow of Opens the airway, speeds the flow of
oxygen to the bodyoxygen to the body
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EpipenEpipen
Preloaded single dose of Preloaded single dose of epinephrineepinephrine
Can be self administeredCan be self administered Auto-injectedAuto-injected Needle is concealed, and will Needle is concealed, and will
pierce through clothespierce through clothes If accidentally given, will not harm If accidentally given, will not harm
anyoneanyone
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PreventionPrevention
Have a planHave a plan Be familiar with the care planBe familiar with the care plan Know where the epipen is and how Know where the epipen is and how
to use itto use it Work together as a team Work together as a team
(administrators, teachers, (administrators, teachers, counselors, school nurses, etc.)counselors, school nurses, etc.)
Teachers: Put info in sub folder Teachers: Put info in sub folder
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AsthmaAsthma
Asthma.pptx
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Seizure Seizure DisordersDisorders
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What is Epilepsy?What is Epilepsy?
Epilepsy is a neurological Epilepsy is a neurological condition that produces condition that produces disturbances in disturbances in normal electrical normal electrical function of the brain. function of the brain.
Epilepsy, a word of Greek Epilepsy, a word of Greek origin meaning “to hold or seize”.origin meaning “to hold or seize”.
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Causes of EpilepsyCauses of Epilepsy
FamilialFamilial Association with Association with
other other neurological neurological disordersdisorders
Injury, infections Injury, infections or other damage or other damage to the brainto the brain
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Other medical Other medical conditions that can conditions that can cause seizurescause seizures High FeverHigh Fever Severe InfectionsSevere Infections DiabetesDiabetes Head InjuryHead Injury Heat ExhaustionHeat Exhaustion PoisoningPoisoning Pregnancy Pregnancy
ComplicationsComplications
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Types of SeizuresTypes of Seizures
Tonic-clonic seizures (grand mal) Tonic-clonic seizures (grand mal) Generalized absence seizures (petit Generalized absence seizures (petit
mal) mal) Simple partial seizures (focal seizures)Simple partial seizures (focal seizures) Complex Complex
partial seizures partial seizures (psychomotor (psychomotor or temporal or temporal lobe seizures)lobe seizures)
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First Aid for SeizuresFirst Aid for Seizures
Loosen tight necktie.Cushion Head
TURN ON SIDE Nothing in Mouth.
Cushion Head
Loosen Tight Necktie
Nothing in Mouth
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First Aid for SeizuresFirst Aid for Seizures
Look for I.D. Don’t hold down.
As seizure ends … offer help
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Immediate Medical Immediate Medical AttentionAttention
Child has a seizure with no known Child has a seizure with no known history of epilepsyhistory of epilepsy
Seizure lasts more than 5 minutesSeizure lasts more than 5 minutes Child immediately has another Child immediately has another
seizureseizure Consciousness does not Consciousness does not
return after seizure return after seizure endsends
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Immediate Medical Immediate Medical AttentionAttention Child hits his head with force Child hits his head with force
during the seizureduring the seizure Pupils of uneven size or dilatedPupils of uneven size or dilated Difficult in rousing after 20 Difficult in rousing after 20
minutesminutes Vision problems afterwardsVision problems afterwards Persistent severe headachePersistent severe headache
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What other things you What other things you can do to helpcan do to help Stay calmStay calm Provide privacy/coverProvide privacy/cover Note:Note:
– events leading up to seizureevents leading up to seizure– how the person acted during how the person acted during
seizureseizure– length of seizurelength of seizure– person’s response after seizureperson’s response after seizure
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What to expect after a What to expect after a seizureseizure ConfusedConfused HeadacheHeadache Drowsy Drowsy TiredTired Memory LossMemory Loss EmbarrassedEmbarrassed
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Medication Side Medication Side EffectsEffects
sleepinesssleepiness distractibilitydistractibility learning difficultieslearning difficulties nausea, no appetitenausea, no appetite dizzinessdizziness tremorstremors slurred speechslurred speech blurred visionblurred vision
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TriggersTriggers
Lack of or disrupted sleepLack of or disrupted sleep Test takingTest taking Family DisruptionsFamily Disruptions Other IllnessesOther Illnesses