Diabetes Testing and diabetic ketoacidosis

Policy:

·   Severe high blood sugar, acetone in the urine, and symptoms of acetone in the central nervous system.

Signs and symptoms:

1.  Pale face

2.  Disturbance in the degree of consciousness

3.  The mouth has a foul odor of acetone  (the smell of rotten apples)

4.  Increased urine output

5.  General dryness

6.  General weakness of the body

7.  Stomach pain and frequent vomiting

8.  Deterioration in the percentage of salts in the body

9.  Increased blood acidity

Steps:

1. Dealing with patients with diabetic ketoacidosis by performing a blood sugar test repeatedly every hour or according to the doctor’s orders

2. The doctor will be informed of the result

3. Blood gases are performed on the patient according to the doctor’s instructions to determine the acidity of the blood and the level of ketones in the blood.

4. Giving the patient insulin according to the test result and the doctor's instructions.

5. Compensating the patient with solutions according to the doctor's instructions

6. Observe the patient's level of consciousness and note any deterioration in the patient's level of consciousness

Determine the degree of acidity or alkalinity according to the following table