Hypoglycaemia Flashcards
1
Q
Why can alcohol cause hypoglycaemia?
A
Increases activity of insulin
Signs of hypo present in similar way to being drunk
Reduced self-care practices when under the influence
2
Q
Describe symptoms of hypoglycaemia?
A
First influenced by adrenaline rush
- sweating
- anxiety
- high HR
- shaking
- hungry/nausea
- irritable/aggression
Followed by:
- confusion
- drowsiness
- slurred
- uncoordinated
COMA
3
Q
How is it treated?
A
15g of v. quickly absorbed CHO -> 15mins (if not to 5mmol) REPEAT -> Meal/snack
4
Q
Give 3 causes of hypo
A
- Too much insulin/SUs
- Skipped/delayed meal
- Not enough CHO
- Exercise
5
Q
What form of glucose is given to the following patients:
- Conscious and capable of swallowing
- Drowsy/confused but capable of swallowing
- Unconscious
A
Conscious - 15g of quickly absorbed CHO/60ml of fruit juice
Confused - 1.5-2 tubes of glucose gel inside mouth into side of cheek
Unconscious - IV glucose
6
Q
After what amount of time must glucose levels be rechecked?
A
15 mins
Rule of 15 - 15g recheck in 15 mins
7
Q
If a patient is hypoglycaemic should insulin be omitted?
A
No (as long as still eating - should be omitted if unconscious)
