Hypoglycaemia_Flashcards

Question 1

What should be advised for preventing hypoglycaemia?

Answer 1

Always carry an immediate source of fast-acting glucose and blood glucose monitoring equipment (include parents and school nurses)

Question 2

How is mild-to-moderate hypoglycaemia managed?

Answer 2

Give fast-acting glucose by mouth (usually liquid carbohydrate, e.g., Lucozade). May need to be given in small amounts if vomiting. Recheck blood glucose within 15 mins and repeat fast-acting glucose if hypoglycaemia persists. As symptoms improve, give oral complex long-acting carbohydrate to maintain blood glucose levels

Question 3

How is severe hypoglycaemia treated in hospital?

Answer 3

Give IV 10% glucose (maximum dose of 500 mg/kg of bodyweight, 5 ml/kg)

Question 4

How is severe hypoglycaemia treated if not in hospital and the patient is unresponsive or PO route cannot be used?

Answer 4

IM glucagon or concentrated oral glucose solution (e.g., glucogel). IM glucagon: 500 μg for < 8 years; 1 mg for > 8 years. Seek medical help if blood glucose remains low after 10 mins. Once symptoms improve, give oral complex long-acting carbohydrate

Question 5

What is a risk factor for hypoglycaemia related to alcohol?

Answer 5

Alcohol is a risk factor for hypoglycaemia; patients should eat carbohydrates before and after drinking