Hypoglycemia Flashcards
1
Q
Initial Considerations..
A
- HX of Type 1 Diabetes
- Stroke
- Head injury/Trauma
- Drug usage
- ETOH usage
2
Q
Initial Actions..
A
- Confirm FSBG
- Assess Mental Status/GCS
- Perform prehospital stroke screen (as indicated)
- O2 to maintain SpO2 > 94%
- Obtain Vital Signs
- Determine Underlying Cause
3
Q
Line of TX
A
IF ALERT AND ABLE TO SWALLOW:
- 2 MAX Oral Glucose Tubes
- IV Access
- Administer D10 1mL/kg
(250mL MAX dose) IV/IO
*May repeat 1x for continued symptomatic hypoglycemia
If unable to establish IV Access: Glucagon 0.1mg/kg (max 1 mg) IM
*May repeat 1x after 10min
4
Q
After TX Administration..
A
Reassess:
- VS
- Mental Status
- FSBG
Consider:
- Treat & Release AG
- BLS Transport Thresholds AG (Depending on Underlying Cause)
5
Q
Consider consultation with medical direction for patients that do not meet what criteria..
A
- Not actively vomiting/is tolerating oral intake
- Patient had adequate response to single dose of dextrose - with VS in BLS range, normal mentation, and
FSBG within normal limits - Patient has no acute conditions other than hypoglycemia (chest pain, shortness of breath, intoxication,
liver disease, kidney disease, or febrile illness) - Patient only on short acting insulin or premixed analog (e.g. NovoLog® 70/30 or Humalog® 70/30)
- Patient is not taking oral agents (other than metformin) for blood glucose control
- Patient released to competent adult
- Patient or legal guardian refuses transport or patient and providers agree transport is not indicated
