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