HERMANO, Geovanni Rai D.
BSN 207 Group 27B
May 7, 2011 Mrs. Marina Magnolia NINOBLA RN RM MAN FASTING BLOOD SUGAR (FBS) The fasting blood sugar or (fasting plasma glucose) test is used to measure plasma glucose levels after a fast of at least 8 hours. This test is commonly used to screen for diabetes mellitus and prediabetes, in which absence of deficiency of insulin allows persistently high glucose levels. Purpose To screen for diabetes mellitus and prediabetes. To monitor drug or diet therapy in the patient with diabetes mellitus. To monitor for hyperglycemia and hypoglycemia. Normal Fasting Blood Glucose Levels Normal Fasting Blood Sugar Levels
Around 83 mg/dl 90 to 130 mg/dl 100 mg/dl Women Men Children
For Whom
Fasting Blood Sugar Levels Chart Normal Fasting Blood Sugar Levels
Less than 70 mg/dl (3.9 mmol/l) 70 to 99 mg/dl (3.9 to 5.5 mmol/l) 100 to 125 mg/dl (5.6 to 6.9 mmol/l)
Significance
Low fasting blood sugar Normal fasting blood sugar Impaired fasting glucose (prediabetes) or impaired glucose tolerance Diabetes Mellitus
126 mg/dl (7.0 mmol/l) and above in more than one test result
Fasting Plasma Glucose Procedure Preparation 1. Explain to the patient that this test detects disorders of glucose metabolism and aids in the diagnosis of diabetes. 2. Tell the patient that the test requires a blood sample. Explain who will perform the venipuncture and when. 3. Explain to the patient that he may experience slight discomfort from the tourniquet and needle puncture. 4. Instruct the patient to fast for 12 to 14 hours before the test. 5. Notify the laboratory and physician of medications the patient is taking that may affect test results; it may be necessary to restrict them. 6. Alert the patient to the symptoms of hypoglycemia such as weakness, restlessness, nervousness, hunger, and sweating and tell him to report such symptoms immediately. Implementation 1. Perform a venipucture and collect the sample in a 5-ml clot-activator tube. 2. Send the sample to the laboratory immediately. 3. Note on the laboratory results when the patient last ate, when the sample was collected, and when the patient received the last pretest dose of insulin or oral antidiabetic drug (if applicable). Nursing Interventions 1. Apply direct pressure to the venipucture site until bleeding stops. 2. Provide a balanced meal or a snack. 3. Instruct the patient that he may resume his usual medications that were stopped before the test.