learning objectives for hyperglycemia-high blood sugar participants will be able to understand:...
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Learning Objectives for HYPERglycemia-HIGH blood sugar
Participants will be able to understand:• Symptoms of high blood sugar• Treatment of high blood sugar• Short and long term risks of high
blood sugar
Above target range
KBN 2014
HYPERglycemia=HIGH blood sugar
O HIGH blood sugar possible causes:
Above target range
Not enough insulin
Too much food
Not enough activity
Illness, infection or stress
KBN 2014
HYPERglycemia=High blood sugar
Onset:• Usually slow onset, not an emergency• More rapid with:
-pump failure/malfunction -illness -infection
• Can mimic flu-like symptoms• Greatest danger: may lead to diabetic
ketoacidosis (DKA) if not treated
KBN 2014
HYPERglycemia-HIGH Blood Sugar
O HYPERglycemia alone is not an emergency
O When accompanied with nausea, vomiting and/or ketones, it does become an emergency and the school nurse and parent/ guardian should be called
O If unable to reach a parent or guardian, the school nurse should initiate contact with the health care provider or 911.
KBN 2014
HYPERglycemia-HIGH blood sugar Common Symptoms
Thirsty Blurred Vision
TiredHunger Frequent restroom breaks
KBN 2014
HYPERglycemia-HIGH blood sugar other symptoms
Headache Stomach pains
Weight LossIrritable
Flushed FaceSleepiness/Fatigue
Dry MouthNausea
ConfusionLabored breathingProfound weakness
Unconscious
Above target range
KBN 2014
HYPERglycemia: What to doGoal is to lower the blood sugar to target range byfollowing the actions on the DMMP:
O Verify by blood sugar checkO Check urine ketones as ordered on DMMPO Allow free use of restroom and access to waterO Contact school nurse to discuss plan of action.O Administer insulin based on school nurse consult and
DMMPO School nurse/school employee will contact parent/guardian, especially if ketones are present.
O Recheck blood sugar per DMMP
O Document, noting any patterns or irregularitiesKBN 2014
HYPERglycemia: Risks and Complications
O Interferes with student’s ability to learn and participate
O Serious long-term complications develop when blood sugar levels remain above the target range over time and are recurring
O Hyperglycemia and ketones untreated can lead to diabetic ketoacidosis (DKA) and potentially to coma and/or death
KBN 2014
KBN 2014
GO TO THE AMERICAN DIABETES ASSOCIATION
SAFE AT SCHOOLS VIDEO
CHAPTER 4 HYPERGLYCEMIA
on the internet at YOU TUBE:
http://www.youtube.com/watch?v=i26P860R1AU&list=PL3DE9DDE8EB2A2E56&index=5