hypoglycaemia Flashcards
1
Q
causes of hypoglycaemia.
A
too much insulin sulphonyureas insulinoma liver failure addisons disease alcohol
2
Q
what is the treatment for a hypoglycaemic coma?
A
50ml 50% dextrose IV bolus
followed by 0.9% saline
if persistent give dexamethasone 4mg/4hr IV (cerebral oedema)
if no IV access give 1-2mg IM glucagon
3
Q
management of hypoglycaemic coma with no IV access ?
A
IM glucagon
4
Q
what medication would you give if hypoglycaemic coma persisted after giving the bolus of dextrose ?
A
IV dexamethasone 4mg/4hr to combat cerebral oedema
