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CBG

The document outlines the importance of accurate capillary blood glucose monitoring for diabetes management, detailing the necessary equipment and principles for effective testing. It emphasizes the nurse's responsibilities in ensuring proper testing techniques and the potential for errors in glucose readings. Additionally, it discusses the use of alternate site testing and its limitations compared to fingertip testing.

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sharon thomas
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7 views6 pages

CBG

The document outlines the importance of accurate capillary blood glucose monitoring for diabetes management, detailing the necessary equipment and principles for effective testing. It emphasizes the nurse's responsibilities in ensuring proper testing techniques and the potential for errors in glucose readings. Additionally, it discusses the use of alternate site testing and its limitations compared to fingertip testing.

Uploaded by

sharon thomas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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INTRODUCTION

Accurate determination of capillary blood glucose assists


patient in control and daily management of diabetes
mellitus. Blood glucose monitoring helps evaluate
effectiveness of medication, reflects glucose excursion after
meals, assesses glucose response to exercise regimen, and
assists in the evaluation of episodes of hypoglycemia and
hyperglycemia to determine appropriate treatment.
DEFINITION
Capillary Blood Glucose (CBG), is a method of obtaining
capillary blood by skin puncture to measure blood glucose
levels for monitoring the control of diabetes mellitus.
EQUIPMENT
- Blood glucose meter
- Test strip
- Disposable gloves
- Lancet/lancing device
- Alcohol wipe
- 2 x 2 gauze or clean tissue
- Cotton ball
PRINCIPLES
1. The most appropriate schedule for glucose monitoring is determined by the
patient and health care provider

a) Medication regimens and meal timing are considered to set the most effective
monitoring schedule

b) Scheduling of glucose test should be cost-effective.

c) Glucose monitoring is intensified during times of stress or illness or when


changes in therapy are prescribed.

2. Patients with type 2 diabetes controlled with oral hypoglycemic agents or a


single injection of intermediate-acting insulin may test glucose levels before
breakfast and before supper or at bedtime.
NURSE’S RESPONSIBILITY
1. Washing in warm water will increase the blood flow to
finger.
2. Errors in glucose readings can result from miscalibrated or
improperly coded meters.
3. Some glucometers require that the test area be covered
completely for accurate results. Others use only a small drop
of blood inserted at the side of test strip.
4. Blood contact time with the test strip can vary with each
glucose meter. Precise timing is crucial for accurate results.
Consult the glucose meter instruction guide for timing
sequence necessary for specific product.
5. Alternate site testing has been recommended for
patients who complain of painful fingers and for
individuals such as musicians, who use their fingertips
for occupational activities. However, testing in such sites
as the forearm, palm, thigh, and calf have not proved as
accurate as fingertips in most study.
a) If alternate site is used, the area should be rubbed
until it is warm before testing.
b) Do not use an alternate site when accuracy is critical,
if hypoglycemia is suspected, before or after exercise or
before driving.
c) Check with the glucometer manufacturer to see if it is
approved for alternate site testing.

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