Hypoglycaemia

Question 1

Definition

Values

When to treat

Answer 1

Decreased blood sugar resulting in a decreased GCS

SAAS aims 4-8 bsl

Treat below 3.5/ GCS

Question 2

Treatment for hypo
1. 
2. 
3. 
4. 
5.

Answer 2

1. Oxygen 15lt nub
2. Oral glucose if can cough - to effect 15g per tube
   - if ineffective:
3. Glucagon - considered - acts on glycogen stores
   - promotes
   Glycogenolysis
   Gluconeogenesis
   -inhibits
   Glycogenesis
   -if ineffective
4. IV glucose
   test patent vein
   25g/250ml titrated to BGL and GCS
   100ml saline flush
5. Complex carbs
6. Transport/ consider other management plan.

Question 3

When can I leave an adult home after a hypo

Answer 3

1. Consumed complex carbs
2. Has a legitimate identifiable cause for the overdose/ hypo -
3. Is a normally stable diabetic
4. Suitable and stable accomodation
5. Is currently stable

Question 4

Paediatric doses for hypo

Glucose

Glucagon

Glucose

Sodium chloride

Answer 4

Glucose pasteOral carbs 15g to effect

Glucagon
0.5mg if under 25kg
1 mg if over 25kg
-if ineffective <>

Glucose
Test patent vein
25g/250ml IV glucose - 2ml/kg MAX 5ml/kg

Flush
1ml/kg normal saline