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- Title
(QOL10) Corticosteroid Pulse Therapy--Hyperglycemia: Protocol for Capillary Blood Glucose Control.
- Authors
Fernandes, Ivone R.; Sena, Ana C.; Paschoal, Maria A.; Franco, Adakson M.
- Abstract
Background: Pulse therapy is the preferred therapy for treatment of multiple sclerosis (MS) outbreaks, which is a neurologic, demyelinating, and inflammatory condition, with intermittent periods of outbreak-remission. The recommendation is corticosteroid doses (500 mg to 1 g), every 3-5 days, administered at the hospital, as an inpatient, or as outpatient at an infusion clinic. The treatment reduces the inflammation during the outbreak phase of the MS and seeks to stabilize the crisis. Despite their adverse effects, the glucocorticoids are potent anti-inflammatories in the treatment of autoimmune pathologies. The glucocorticoids block the entrance of glucose in the tissues and increase the proteolysis, decreasing their synthesis in muscles, skin, bones, connective tissue, fat cells, and lymphoid tissue. Before the pulse therapy, it is important to eliminate the possibility of an active infection and to always administer the antiparasitic to control possible infestations. Checking the blood pressure, body weight and capillary glucose are very important during the infusion. Daily checks pre- and postinfusion are required as hyperglycemia may occur as an adverse effect of the therapy. The capillary blood glucose check is a blood test that gives immediate results about glucose concentration in the capillaries and the digital pulp. Objectives: To describe a protocol for puncture site rotation for the capillary blood glucose test performed during pulse therapy. Methods: A rotation pattern was established for the digital pulp punctures. The patient is directed to properly wash the hands and dry well. The nurse professional punctures the selected site on the right or left side of the distal phalanx of the finger chosen for the test, by alternating the puncture sites, and records the date, time, location and blood glucose value. Results: Not applicable. Conclusions: The introduction of a protocol for puncture site rotation, based on a simple code, assists in the communication between nursing professionals and promotes patient safety. The protocol allowed the participation and cooperation of the client thus establishing self-care.
- Publication
International Journal of MS Care, 2020, Vol 22, Issue S2, p65
- ISSN
1537-2073
- Publication type
Academic Journal