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Blood Glucose Monitoring: Techniques and Troubleshooting Tips

Learn techniques to monitor blood glucose levels, indications for use, proper technique, common pitfalls, and troubleshooting methods. Ensure the accuracy of readings and proper treatment for patients with diabetes.

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Blood Glucose Monitoring: Techniques and Troubleshooting Tips

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  1. Blood Glucose Monitoring - automated Optional , EMT

  2. Course Objectives Indications for Use Proper Technique Pitfalls and Troubleshooting

  3. Indications • Altered Mental Status • Patients with a history of diabetes • Diabetic patients with medical or trauma emergencies

  4. Equipment • Protective gloves & eyewear • Tissue or gauze pads • Alcohol wipes • Fingerstick lancets • Chemical reagent strips (must match monitor) • Electronic blood glucose meter

  5. Technique • BSI • Clean fingertip with alcohol wipe (allow to dry) • Follow manufacturer’s instructions • Use triggered fingertip lancet to side of finger • Record reading and time of test • Remove strip & dispose of strip & lancet properly

  6. DO’s and DON’Ts • Match code on device to strip • Get an adequate sample size • Recap reagent strips • Dispose of lancet in sharps container • Follow manufacturer’s specific instructions • Reuse lancets or reagent strips • Touch target area of strip • Use lancet before alcohol is dry • Forget to calibrate device if needed • Use outdated strips

  7. Pitfalls & Troubleshooting • Follow manufacturer’s instructions for routine maintenance, calibration, and battery replacement • Use correct control solution and test strips for the model of the device • Let alcohol dry before using lancet • Completely cover target area of strip with a single drop of blood • See user’s manual for troubleshooting tips

  8. Treatment Blood Glucose levels below 70 • Follow Hypoglycemia protocol for your level • Glucagon • per local Med Control

  9. Skill Overview • BSI • Select and prep site • Collect and place specimen • Glucometer reading • Charting • Treatment

  10. Summary • Indicated for altered mental status or known diabetic patients with illness or injury • BSI • Prep site with alcohol wipe • Use lancet to obtain sample • Transfer blood to reagent strip • Insert in monitor • Record results and use for differential diagnosis

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