Hypoclycemia

Question 1

What are FIVE (5) NEUROGENIC symptoms of HYPOGLYCEMIA?

Answer 1

1. Cold/clammy ❄️😰
2. Shaky/ tremors
3. Heart Pounding 💓
4. Anxious 😟
5. Sweaty 😓

Question 2

What are FOUR (4) NEUROGLYCOPENIC symptoms of HYPOGLYCEMIA?

Answer 2

1. Confusion 🤤
2. Paralysis
3. Seizure
4. Coma

Question 3

These are the WARNING Signs of HYPOGLYCEMIA.

Answer 3

Neurogenic symptoms

Question 4

These SYMPTOMS occur when BRAIN GLUCOSE is too LOW

Answer 4

Neuroglycopenic

Question 5

True or False: symptoms of hypoglycemia may present similar to alcohol intoxication.

Answer 5

TRUE, hypoglycemia causes impairment of mental function

Question 6

At what BLOOD GLUCOSE LEVEL does INSULIN production DECREASE?

Answer 6

83

Question 7

At what BLOOD GLUCOSE LEVEL are COUNTER-REGULATORY HORMONES RELEASED?

Answer 7

66

Question 8

Patients taking what THREE (3) MEDICATIONS are at RISK for HYPOGLYCEMIA UNAWARESS?

Answer 8

Beta-adrenergic Blockers

1. Metoprolol (Lopressor)
2. Atenalol (Tenormin)
3. Propranolol (Inderal)

Question 9

True or False: criteria used to categorize hypoglycemia is based on severity rather than blood glucose levels.

Answer 9

TRUE, blood glucose levels at which pts begin to show symptoms varies

Question 10

What ROLE does EPINEPHRINE play in patients with DM

Answer 10

RAISES ⬆️ BGL by stimulating liver functions

Question 11

HYPOGLYCEMIC UNAWARENESS most OFTEN OCCURS in what patient?

Answer 11

Type 1 DM for 30 years or longer

Question 12

What times of the day (4) should BGL be MONITORED?

Answer 12

1. Before meals
2. Before Meds
3. Before bedtime
4. When symptomatic

Question 13

What are TWO (2) KEY FACTORS of CARBOHYDRATE REPLACEMENT?

Answer 13

Start with 15-20g (BGL < 50)

Liquids are more easily absorbed

Question 14

What types of DRINKS are BEST for CARBOHYDRATE REPLACEMENT?

Answer 14

1. 4-6oz Fruit Juice 🍊
2. 8oz skim milk 🥛
3. 4oz NON-diet soft drink 🍹

Question 15

HOW SOON should the BGL be RE-CHECKED after treatment of HYPOGLYCEMIA?

Answer 15

15 min

if no change, give 15-20g more carbs

Question 16

If the BGL is LOWER than 50, the amount of CARBOHYDRATE should be INCREASED by how much?

Answer 16

30 grams

Question 17

How is HYPOGLYCEMIA TREATED in a patient that is UNABLE to SWALLOW?

Answer 17

1 mg Glucagon IM or SQ

OR

50% Dextrose IV

Question 18

What REACTION to GLUCAGON should the nurse be mindful of following administration to the patient?

Answer 18

Vomiting 🤢

Question 19

A nurse is educating a patient about HYPOGLYCEMIA PREVENTION Stratagies, the patient shows understanding by stating what FOUR (4) things?

Answer 19

1. Ensure the right type of insulin is administered at the right time
2. Proper nutrition and absorption are important (gastric/liver/kidney function)
3. Exercise with in 1 hour of insulin injection is contraindicated and BGL should be 80-250
4. I should only consume alcohol with or shortly after eating and avoid consumption before bedtime