Happens to all patients o symogi hyperglycemia in the

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Happens to all patients o Symogi Hyperglycemia in the morning and in the morning and at night your BS is low Happens to Diabetic patients. Check bs before they go to bed, in the middle of the night, and in the morning o Hypoglycemic 15grams of simple carbs such as crackers, juice than re-check bs in 15 minutes If patient is NPO, pt can go into hypoglycemic, but they usually have D50 hung IV Make sure pt eats before giving insulin o If pt is unconscious and hypoglycemia Give D50 (if give too fast will cause rebound hyperglycemia, give slow continuous drip) Or give glucagon ] Diabetes pt teaching o Maintain hydration 2-3L daily o Wear medical alert bracelet o Monitor BS ever 4 hours if prone to hypo or hyperglycemia o Diet wise: count pt carbs and teach them to be aware, intake at least 15 G, also include fiber o Use artificial sweeteners o Saturated fats has to be at least 7% of daily caloric intake GI Abdomen o Inspect, actuate, percuss and than palpate Endoscopy vs colonoscopy o Endoscopy NPO at midnight (camera down throat) o Colonoscopy: NPO all day Drinking Golite (cleans the colon) Gastric obstruction o Pyloric obstruction o Order an NG tube to decompress the stomach Barrium swallow test o Swallow special dye, which illuminates insides After procedure the stool will be clear and white, it is normal NG tube o Potassium will decrease, because your stomach has potassium o Monitor potassium levels, if they’re on the NG tube GI bleed
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o Assess orthostatic hypotension, lying, sitting, and standing up (check BP) o
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  • Fall '17
  • Hyperglycemia,  Decrease fat intake

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