Diabetes Testing and diabetic ketoacidosis
| Site: | EHC | Egyptian Health Council |
| Course: | Nursing Procedure Guidelines for the Reception and Emergency Department |
| Book: | Diabetes Testing and diabetic ketoacidosis |
| Printed by: | Guest user |
| Date: | Tuesday, 5 May 2026, 11:39 PM |
Description
"last update: 27 March 2025" تحميل الدليل
- Prepared by
Emergency guide
Under supervision
- Prof. Dr. Mohamed Latif, CEO of the Egyptian Health Council
Dr. Kawthar Mahmoud, Head of the Egyptian Nursing Syndicate - Member of the Senate
Supervised by
Dr. sherif wadie, advisor to the minster of health for emergency and urgent care
Prepared by
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Title |
Name |
NO. |
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Dean Of Faculty Nursing, Professor of Medical and Surgical Nursing, Tanta University |
Dr Afaf Abdel Aziz Abdel Aziz Basal |
1 |
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Professor Of Critical Care Nursing |
Prof.Dr/Zeinab Hussain Ali |
2 |
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Professor And Head of the Department of Medical Surgical Nursing. Faculty-. Benha University |
Prof.Dr Amal Said Taha Refaie |
3 |
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Supervisor Of the Education Sector at Port Said University |
Prof.Dr Amal Ahmed Khalil Morsy |
4 |
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Professor Of Medical Surgical Nursing- Faculty of Nursing- Cairo University |
Dr. Hanan Ahmed Al Sebaee |
5 |
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Head of central administration on secondment at MOHP |
Dr Neveen ab drab al0nabi Mohamed |
6 |
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Director Of Primary Health Care Nursing Department at MOHP. |
Maysa Hosny Ahmed Tammam |
7 |
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Supervisor Of Technical Education- EHA |
Nancy Alaa Eldeen Abd-Elbaset Ali |
8 |
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Supervisor Of Nursing Services Development- EHA |
Sherien Mohamed Saad |
9 |
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Assistant Professor of Maternity and Neonatal Health Nursing - Faculty of Nursing- Ain Shams University |
Assist.Perof. Dr./Heba Mahmoud Mohammed |
10 |
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General manager of general administration of health institutes affairs |
Dr Mai Galal Ibrahim Al-Assal |
11 |
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Participants |
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Director Of Curative Nursing Department MOHP |
Dr. Azza Galal Ahmed Khalil |
12 |
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Member of the Nursing administration, EHA, Luxor Branch |
Mr. Ahmed Mohamed Ahmed Al Noubi
|
13 |
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Nursing Specialist at the General Administration of Nursing - Ministry of Health |
MS. Angham Hamdy Abdel Khaleq
|
14 |
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Nursing Specialist at the General Administration of Nursing - Ministry of Health |
Mr. Ahmed Muhammad Hussein Mubariz |
15 |
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Nursing Specialist at the General Administration of Nursing - Ministry of Health |
Mr. Abdel-Azim Al-Saeed Abdel-Azim Al-Hanafi |
16 |
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Nursing Specialist at the General Administration of Nursing - Ministry of Health |
Mr. Shawkat Yusre Hussein
|
17 |
|
nursing specialist at the General Administration of Nursing |
Mr. Karim Ahmed Sadik |
18 |
- Diabetes Testing Policy
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Policy Name |
Sugar Testing Policy |
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Definition:
It is a procedure done to know the blood sugar level
Most exposed people:
Diabetics.
The team in charge.
Nursing team.
Tools:
Glucose analyzer - Test strips with the same code as the device - Sterile cotton or gauze - Lancets - Alcohol - Latex gloves.
Steps:
1- Wash hands
2- Explain the procedure to the patient
3- Put on gloves, hold the patient's finger down and squeeze gently
4- Wipe your fingertip with a cotton ball dipped in alcohol and prick your finger with a swab
5- Place the end of the strip or the designated place on the strip to place the blood drop
6- Press the finger with cotton until the bleeding stops
7- Dispose of waste in the designated place
8- The nursing staff records the blood sugar level on the special form and gives the insulin dose according to the doctor’s orders
- Policy for dealing with patients with diabetic ketoacidosis
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Policy Name |
Dealing with patients with diabetic ketoacidosis |
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to divide |
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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
|
Value |
Normal rate |
Evaluation |
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PH |
(7.35-7.45) |
If the percentage is greater than 7.45, the blood is alkaline. If the percentage is less than 7.35, the blood is acidic. If the result is within the normal range, the blood is neutral. |
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Pao2 |
(80% - 100%) |
Blood oxygen pressure, through which the patient is placed on oxygen or on a ventilator, depending on the test result. |
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Pco2 |
(35-45)
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Carbon dioxide pressure in the blood. If there is an imbalance in this ratio, the sample will be venous. |
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So2 |
(95-99) |
This percentage is used to confirm the blood oxygen saturation in percent. |
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Hco3 |
(22-26) |
Carbonic acid in the blood and its percentage is replaced by using sodium bicarbonate |