Hi
The one that sticks out in my experience is as follows:
Glucose/ketone meter used to measure ketones - nurse put glucose test strip in to do the test - result of 17.8 produced and interpreted as ketones (ketones above 8 reported as 'Hi' but no one picked this up) ..... diagnosed as DKA despite ABG being normal...... commenced on insulin. Patient was a type 2 diabetic of long standing so unlikely to be DKA, and despite no clinical signs of acidosis was treated for DKA for 3 days. We now emphasis relating the clinical condition to the results produced - if they look suspicious then repeat/double check/investigate.
Hope this is of use
Regards
Phil
Phil Bates
Trust PoCT Coordinator
East Kent Hospitals University NHS Foundation Trust
Canterbury
Kent CT1 3NG
01227 766877 x74088
07500 826111
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-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Michael Ryan
Sent: 20 December 2012 11:10
To: [log in to unmask]
Subject: POCT teaching scenarios
Dear Colleagues,
I am looking for case histories that reflect POCT issues for use in training student nurses. All contributions gratefully accepted.
Happy christmas,
Michael Ryan
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