Procedure 13 — Assessment: Blood Glucose Analysis

What is the primary clinical indication for blood glucose analysis?

Patients with suspected hypoglycemia or hyperglycemia.

Name three other indications for blood glucose analysis, besides suspected hypo/hyperglycemia.

Altered mental status, decreased responsiveness, or vomiting.

Name two additional named indications for blood glucose analysis.

Bizarre behavior and illness in diabetics.

What catch-all indication is included for blood glucose analysis?

Any other signs/symptoms suggesting abnormal blood glucose levels.

What is the first step in blood glucose analysis?

Gather and prepare equipment.

How should the puncture site be prepared before blood glucose analysis?

Scrub with an alcohol pad and allow to air dry.

What are the possible blood sample sources for glucose analysis?

Fingerstick, lateral heel stick in infants, or simultaneously with intravenous access, when possible.

How is a blood sample applied for glucose analysis?

Place the correct amount of blood on the glucometer's reagent strip per manufacturer's instructions.

What must be done with the glucometer reading after obtaining it?

Document the reading and treat the patient as indicated by the analysis and protocol.

When should glucose analysis be repeated?

Per protocol, to reassess treatment and patient response.

When should glucometer strips, testing solution, or the glucometer be replaced?

If quality assurance checks fall outside of acceptable ranges.

What provider level is designated at the "A" tier for blood glucose analysis?

EMT-I.

What other provider levels can perform blood glucose analysis?

EMT-B and EMT-P.