Endocrine Metabolic

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Trace DC46-13

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1. Purpose and clinical relevance

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9. Patient and caregiver teaching

  • Glucose monitoring and insulin or pump technique, with return demonstration to mastery.
  • Hypoglycemia recognition and rescue — oral carbohydrate and glucagon per order — with caregiver return demonstration of glucagon.
  • Hyperglycemia and sick-day rules, including when to check ketones and when to seek emergency care.
  • Daily foot care and injury and burn prevention where sensation is reduced (cross-reference Touch/Sensation).
  • Medication purpose, timing, storage, and the consequences of missed doses; thyroid and steroid adherence and stress dosing where applicable.
  • When to call the agency versus when to activate EMS (e.g. unresponsiveness, signs of ketoacidosis).
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