48 - Hypoglycemia

Question 1

hypoglycemia

Answer 1

insulin>glucose available in blood
<70 mg/dL

Question 2

hypoglycemia causes counterregulatory sytm to be activates

Answer 2

> suppress insulin
production of glucagon
production of epinephrine
»>autonomic nervous systm

Question 3

hypoglycemia s/s

Answer 3

fr epi: shaky, nervous, palpitn, diaphporesis, anxious, hunger, pallor

fr neuro bc not enough fuel to brain: difficlty speaking, visual change, stupor, confusn, coma

Question 4

untreated hypo-gluc can lead to…

Answer 4

loss of consciousness, seizure, coma, death

Question 5

causes of hypo-gluc

Answer 5

-mismatch in timing of food intake to peak of insulin/OA
-performing unusual or unexpected exercise

Question 6

hypoglycemia tx

Answer 6

rule of 15
-15g of simple carb/4-6 oz of juice
-check bld gluc in 15 min
-repeat until >70mg
-2-3 doses

Question 7

avoid tx with carb w fat

Answer 7

like candy bars, cookies, whole milk, ice cream
-fat slows down absorption of glucose

Question 8

hypoglycemia acute setting tx

Answer 8

conscious: 20-50 mL of 50% dextrose IV
unconscious/unable to swallow: 1mg glucagon IM

Question 9

GLUCAGON

Answer 9

stim strong hepatic response
-convern glycogen to glucose
nausea is common
-turn pt to side until alert