JELLY ANN GOMEZ, MAN RN

GLUCOSE MONITORING

● provides information about how the body is controlling glucose

metabolism.
● Controlling the patient’s blood glucose levels is an important part
of medical care (American Diabetes Association [ADA], 2008;
Levetan, 2005).
● It is indicated in the care of patients with many conditions,
including diabetes, seizures, enteral and parenteral feeding, liver
disease, pancreatitis, head injury, stroke, alcohol and drug
intoxication, sepsis, and in patients prescribed corticosteroids
FACTORS AFFECTING BLOOD GLUCOSE

WHAT CAN MAKE MY BLOOD GLUCOSE RISE?

● Too much food, such as a meal or snack with more
carbohydrates than usual
● Not being active
● Not enough insulin or oral diabetes medications
● Side effects from other medications, such as steroids
or antipsychotic medications
● Illness—your body releases hormones to fight the
illness, and those hormones raise blood glucose levels
● Stress, which can produce hormones that raise blood
glucose levels
● Short- or long-term pain, such as pain from a sunburn—
your body releases hormones that raise blood glucose WHAT CAN MAKE MY BLOOD GLUCOSE FALL?
levels ● Not enough food, such as a meal or snack with fewer
● Menstrual periods, which cause changes in hormone carbohydrates than usual or a missed meal or snack
levels ● Alcohol, especially on an empty stomach
● Dehydration ● Too much insulin or oral diabetes medications
● Side effects from other medications
● More physical activity or exercise than usual—physical
activity makes your body more sensitive to insulin and
can lower blood glucose
EQUIPMENTS NEEDED
● lancet
● glucometer
● strips
● gauze
● Cotton
● PPE if indicated
PROCEDURE:
1.. Check the patient’s medical record or nursing plan of care for monitoring
schedule.
2. Gather equipment.
3. Perform hand hygiene and put on PPE, if indicated.
4. Identify the patient. Explain the procedure to the patient and instruct the
patient about the need for monitoring blood glucose.
5. Close curtains around bed and close the door to the room, if possible
6. Put on nonsterile gloves.
7. Prepare lancet using aseptic technique.
8. Remove test strip from the vial. Recap container immediately. Test strips also
come individually wrapped. Check that the code number for the strip matches
code number on the monitor screen
9. Insert the strip into the meter according to directions for that specific device.
10. For adult, massage side of finger toward puncture site.
11. Have the patient wash hands with soap and warm water and dry thoroughly.
Alternately, cleanse the skin with an alcohol swab. Allow skin to dry completely.
12. Hold lancet perpendicular to skin and pierce site with lancet.
13. Wipe away first drop of blood with gauze square or cotton ball if
recommended by manufacturer of monitor
14. Encourage bleeding by lowering the hand, making use of gravity. Lightly stroke
the finger, if necessary, until sufficient amount of blood has formed to.
GLUCOSE MONITORING
PAIN
unpleasant sensory and emotional experience associated with actual or
potential tissue damage or described in terms of such. (International
Association for the Study of Pain, 1996)
OXYGEN SATURATION
● Measurement of gas exchange and red blood cell oxygen carrying capacity
● Provide important information about cardiopulmonary dysfunction

Pulse oximetry
● is a non invasive technique that measures the arterial oxy hemoglobin saturation.
HYPOXIA
A lower-than-normal concentration of oxygen in tissue level.
HYPOXEMIA
lower concentration of oxygen in the blood.