Diabetic Emergencies Flashcards
1
Q
Primary Survey
A
- Confirm there are no D-Spine precautions
- Assess lvl of consciousness (AVPU scale)
- Assess and manage ABC’s as required
- Complete RBS - visualize, palpate, where appropriate and inspect for medical alert jewelry
- Apply O2 (standard face mask or nasal cannula)
- Consider the patients position
2
Q
Decision Point
A
Findings in unstable patient may include:
- Signs or symptoms of hypoglycaemia with decreased LOC
- Glasgow coma score of 13 or less (v or less on AVPU scale)
- Signs and symptoms of hyperglycaemia
3
Q
Load and Transport
A
The Diabetic Emergency Protocol will outline when to initiate transport
4
Q
Critical History
A
- Note the onset of the symptoms (gradual vs sudden)
- Note recent food intake, insulin use and changes in activity
- Note any treatments/medications prior to EMS arrival
- Note any recent illnesses or infections
- Note the use of insulin or oral hypoglycemic medications
- Note any recent changes in medication and compliance
- Note length of time being diabetic, type of diabetes
- Note any complications of diabetes (HTN, circulation issues, etc.)
- Note any patient records of blood glucose lvl and medication doses
5
Q
Patient History
A
SAMPLE/OPQRRRST
6
Q
Vital Signs
A
- Start with blood glucose lvl to determine transport decision
- Complete baseline vitals prior to administrating oral glucose
- Complete vital signs q5 for unstable patient
- Complete vital signs q15 for stable patient
7
Q
Hospital Notification and Head to Toe/Functional Inquiry
A
Completed enroute to hospital
8
Q
Protocol(s)
A
Diabetic Emergencies Protocol (if indicated)
9
Q
Treatment
A
- Refer to protocol guidelines for guiding principles and other considerations
- Refer to drug monograph(s) for indications, contraindications, and dosages of medications
- Ensure GCS assessment and blood glucose check is done prior to subsequent oral glucose administrations
- Ready portable suction in anticipation of possible airway complications with oral glucose administration
