Hypoglycaemia Flashcards
1
Q
define hypo?
A
glucose <3
(<2.6 kids)
(<4 hospital)
2
Q
causes of hypos?
A
diabetes Tx alcohol, infection, ↑insulin + ↑activity, ↓food Addisons insulinomas AI hypoglycaemia
3
Q
Sx hypos?
A
autonomic: shakes, palpy, nervous, hungry
neuroglycopenia: tingling, numb, fatigues, drowsy, coma, seizures
(or Asx)
4
Q
Tx hypos?
A
ALERT: eat/drink 10-20g glucose (then carbs when >4)
CONFUSED but can SWALLOW: 2 tubes GlucoGel
UNCONSCIOUS: IV glucose (20:100ml or 10:200ml)
(glucagon 1mg IM/SC if access difficult or at home)
recheck after 15 mins
5
Q
when is IM glucagon inaffective?
A
ALD
cirrhosis
young/anorexic patients (with no stores in liver)
