Child with high blood sugar.?

Question

I work at an elementary. The nurse was out and we had a student with high blood sugar. How should I have treated this? He's diabetic and his sugar was running 500+

Answer 1

I am just learning how to handle my daughter's diabetes, she's in elementary school. When the blood sugar is that high, it can be dangerous. First, the urine or blood ketones need to be checked. These are the byproducts of the body breaking down fat, and it is toxic to the body. If there are moderate or higher ketones, according to the directions on the bottle, then the child needs to go to the emergency room. If the ketones are lower than moderate [good or low], then the child needs to exercise, drink water, and not eat anything with carbs in it. Keep checking, and call parent and/or doctor, because prolonged high blood sugars are dangerous. If cannot take ketones, take to urgent care.

Answer 2

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Answer 3

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Answer 4

There is a child like that in my son's class. When the school nurse isn't available to give the shot the teacher calls the childs mother. I think she even has a backup phone number of a grandparent or someone who can give it if the mother can't be reached. I would definitely keep a list of a few people that can give the shot in an emergency. Blood sugar that high is very dangerous for the child.

Answer 5

for the future....
First of all the Child's parents should request to put a 504 or IEP plan in plan. This protects both the child and the school. The plan is put into place to ensure there is a plan of action for all situations (low BG, high BG, seizure, food, etc.)
The parents shoudl always be contacted also, they should give permission to release medical info from the child doctor in case the parents aren't available . A BG of 500+ should be treated with insulin but there are many reasons that the child could have a high #. Were the child's hands clean? Is the child sick? Is the child spilling ketones in urine? a 504 plan is the best thing to have in place in order to know how to deal with these situations.

Answer 6

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Answer 7

A blood sugar level that high is extremely dangerous. If you had access to a test and it registered that high, calling 911 to take the child to the hospital would have been the best response. A blood sugar level of over 500 could have potentially sent the child into a coma.

Answer 8

You should have called the parents, and perhaps an ambulance. A blood sugar that high is dangerous and could easily result in a condition called DKA (Diabetic Ketoacidosis). Patients with DKA often need to be admitted to a hospital and treated with IV fluids and insulin.

Answer 9

First I am wondering what prompted this glucose testing. Your first call should have been to the parents. In our school district school personnel including the nurse is not permitted to call an ambulance without consent of a parent and she is not permitted to give any medications without written permission from a parent so giving the insulin as needed wouldn't work here. No doubt insulin and an ambulance were both needed but in a school setting you need to verify how that is to be done first. Oddly enough an outsider such as any parent in the building can call an ambulance. Weird.

Answer 10

does the child's parents provide any supplies...test his keytones (urine) to see if the blood is in is urine-flush him with water, and call his parents...

500+ is a high number, but it can be related to many things...does he wear a pump, or does he have insulin injections? There are so many things to take into account. Was he taking exams? Was his stress level high? Most of all - each child with Diabetes has a Dr. that is on call for them...contact his Endocrinologist!

INFORM THE CHILDS PARENTS!!!