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PDF: DIABETES EMERGENCY CARE PLAN
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Source: www.renton.wednet.edu // Topic: Emergency Care
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Short Desciption: DIABETES EMERGENCY CARE PLAN. CALL SCHOOL NURSE OR SCHOOL OFFICE IF SYMPTOMS APPEAR. Never leave or send student with suspected low blood sugar alone! ...
Content Inside: DIABETES EMERGENCY CARE PLAN
Renton School District Health Services
CALL SCHOOL NURSE OR SCHOOL OFFICE IF SYMPTOMS APPEAR
Never leave or send student with suspected low blood sugar alone! DOB: Phones H: Phone: Current Medication: SYMPTOMS AND TREATMENT OF LOW BLOOD SUGAR
MILD Hunger Shakiness Weakness Paleness Anxiety Inability to concentrate Personality change Other:____________________ _________________________ Circle students usual symptoms MODERATE Headache Behavior change Poor coordination Confusion Blurry vision Weakness Slurred speech Other:________________ _____________________ Circle students usual symptoms SEVERE Loss of consciousness Seizure
Student Name: Parent/Guardian: Physician: Preferred Hospital: W:
C:
Allergies:
MILD Treats self, or 2-3 glucose tablets or 4-8 oz. juice or 4-8 oz. regular soda or Glucose gel product or 3-8 Lifesavers Wait ten to fifteen minutes, Repeat food if symptoms persist or blood sugar less than . Follow with a snack of carbohydrate and protein, e.g. crackers and cheese. Communicate with parents if in IHP.
MODERATE Someone assists Insist on child drinking quick sugar source per MILD
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