A nurse is teaching a new diabetic child and family about sick-day management. What information does the nurse plan to include? (Select all that apply.)
A.
Check blood sugars every 4 hours.
B.
Hold insulin if the child is vomiting.
C.
Provide plenty of rest and sleep.
D.
Offer calorie-containing liquids.
E.
Try to follow the usual meal plan.
ANS: A, C, D, E
Sick-day rules are important to prevent diabetic ketoacidosis (DKA). The child should take the normal dose of medication (the liver continues to produce glucose even when not eating) while trying to follow the meal plan. If solids are not tolerated, then offer liquids that contain calories. Check blood sugars every 4 hours while the child is ill, and check ketones with each instance of voiding. Be sure to notify the physician for any concerns.
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