Hyperglycemia Protocol

Question 1

What is the definition of systemic hyperglycemia?

Answer 1

BGL greater than 300, with signs of severe dehydration, AMS, and/or shock.

Question 2

Prehospital care should be focused:

Answer 2

around the treatment of severe dehydration and support of vital functions

Question 3

Walk through the protocols BLS to ALS:

Answer 3

DRABCDE, oxygen, consider possible unconciousness causes, BGL, establish IV, normal saline 10ml/kg infusion over 1 hr. Nasal capnography, 12 lead, reassess blood glucose at arrival

Question 4

What should you give when BGL is over 300 and signs of dehydration are present?

Answer 4

Infusion of normal saline 10 ml/kg over 1 hr.

Question 5

What are the signs and symptoms of hyperglycemia?

Answer 5

anxiety, agitation, confusion, dry, red, warm skin, acetone smell on breath, kussmaul respirations, dry mouth and intensive thirst, abnormal or hostile behavior, tachycardia, dizziness/headache

Question 6

Differentials for hyperglycemia

Answer 6

hypoxia, stroke, brain trauma, alcohol intoxication, toxin/substance abuse, medication effect/overdose.