Endocrine Assessments

Question 1

How many BS do you need to document

Answer 1

Min 2, one before and after testing

Question 2

Conditions for dextrose

Answer 2

Greater than 2 years of age, LOA altered, hypoglycemia

Question 3

Conditions for glucagon

Answer 3

LOA altered and hypoglycaemia. Only contraindication is Pheochromocytoma

Question 4

Dose for 10% dextrose

Answer 4

IV
0.2g/kg (2mL/kg)
Max dose 25g (250mL)
Every 10 mins
Max of 2 doses

Question 5

Dose of 50% dextrose

Answer 5

IV
0.5g/kg (1mL/kg)
Max 25g (50mL)
Every 10 mins
Max of 2 doses

Question 6

Glucagon dose under 25kg

Answer 6

IM
0.5mg
Every 20 mins
Max of 2 doses

Question 7

Dose of glucagon over 25kg

Answer 7

IM
1mg
Every 20 mins
Max of 2 doses

Question 8

Criteria for treat and discharge

Answer 8

Over 18, dx of diabetes, hypoglycaemia can be explained by insulin or oral intake, hypoglycaemia responded to single dose of meds, single isolated episode within 24 hours, BS >4mmoL/L, asymptomatic, all vitals within normal range

Question 9

Second half if treat and discharge criteria

Answer 9

Not intention OD, hypoglycaemia not related to alcohol withdrawal, no seizure, not on oral hypoglycaemia medication, not acute, not pregnant

Question 10

Conditions for hydrocortisone

Answer 10

Present with a vile of hydrocortisone AND
Age related hypoglycaemia OR
GI symptoms OR
Syncope OR
Temp greater than 38 OR
Altered LOA OR
Age related tachy OR
Age related hypotension

Question 11

Tx for hydrocortisone

Answer 11

IM/IV
2mg/kg
Max of 100mg
Max of 1 dose

Question 12

How fast should you administer dextrose

Answer 12

Gradually over 3 mins, discontinue if patient gains level of consciousness where they can safely consume carbs

Question 13

15 15 rule

Answer 13

Pt is to ingest 15 grams of carbs followed by a repeat check in 15 mins to allow glucose to enter blood