Page 954 - Saunders Comprehensive Review For NCLEX-RN

Press the lancet device lightly against the skin to prevent a deep puncture.
Use glucose monitors that require very small blood samples for measurement.

Adapted from Perry S, Hockenberry M, Lowdermilk D, Wilson D: Maternal-child
nursing care, ed 3, St. Louis, 2010, Mosby.

Box 32-3

Interventions for Hypoglycemia

▪ If possible, confirm hypoglycemia with a blood glucose reading.
▪ Administer glucose immediately; rapid-releasing glucose is followed by a
complex carbohydrate and protein, such as a slice of bread or a peanut butter
cracker.

▪ Give an extra snack if the next meal is not planned for more than 30 minutes or if
activity is planned.
▪ If the child becomes unconscious, squeeze cake frosting or glucose paste onto the
gums and retest the blood glucose level in 15 minutes (monitor the child
closely); if the reading remains low, administer additional glucose.
▪ If the child remains unconscious, the administration of glucagon may be
necessary.
▪ In the hospital, prepare to administer dextrose intravenously if the child is
unable to consume an oral glucose product.

Box 32-4

Food Items to Treat Hypoglycemia

▪ ½ cup of orange juice or sugar-sweetened carbonated beverage
▪ 8 oz of milk
▪ 1 small box of raisins
▪ 3 or 4 hard candies
▪ 4 sugar cubes (1 Tbsp of sugar)
▪ 3 or 4 Life Savers candies
▪ 1 candy bar
▪ 1 tsp honey
▪ 2 or 3 glucose tablets

Box 32-5

Interventions for Hyperglycemia

954