Wilson & Hockenberry: Wong’s Clinical Manual of Pediatric Nursing, 8th Edition: Patient Teaching Guide

Wilson & Hockenberry: Wong’s Clinical Manual of Pediatric Nursing, 8th Edition

Patient Teaching Guide

This section may be photocopied and distributed to families.

Source: Wilson D, Hockenberry MJ: Evolve Resources for Wong’s clinical manual of pediatric nursing, ed 8. Copyright © 2012, Mosby, St Louis.

Minimizing Pain of Blood Glucose Monitoring

To enhance blood flow to the finger, hold it under warm water for a few seconds before the puncture.

When obtaining blood samples, use the ring finger or middle finger (blood flows more easily to these areas), and puncture the finger just to the side of the finger pad (more blood vessels and fewer nerve endings).

To prevent a deep puncture, press the platform of the lancet device lightly against the skin and avoid steadying the finger against a hard surface.

Use lancet devices with adjustable depth tips. Begin with the most shallow setting.

Use glucose monitors that require small blood samples (e.g., Ascensia Elite) to avoid repeated punctures.

Discuss the use of a topical anesthetic such as EMLA or LMX4.

Discuss alternate site testing (AST) with your health professional; alternate sites for blood glucose monitoring other than the finger include forearm, upper arm, palm, abdomen, thigh, and calf. These sites may not be as painful to prick, but a different glucose monitor may be required (Bui H, Perlman K, Daneman D: Self-monitoring of blood glucose in children and teens with diabetes, Pediatr Diabetes 6[1]:50, 2005).

Only gold members can continue reading. Log In or Register to continue

Related

Stay updated, free articles. Join our Telegram channel

Tags: Wongs Clinical Manual of Pediatric Nursing

Jan 16, 2017 | Posted by admin in NURSING | Comments Off

Full access? Get Clinical Tree

Get Clinical Tree app for offline access

Get Clinical Tree app for offline access