Hypoglycemia Protocol

Question 1

Signs and symptoms of hypoglycemia

Answer 1

anxiety, agitation, confusion, cool clammy skin, diaphoresis, seizure, decreased visual acuity, blindness, abnormal/hostile behavior, tachycardia, hypertension, dizziness, headache, weakness

Question 2

Differentials of hypoglycemia

Answer 2

hypoxia, seizure, stroke, brain trauma, alcohol intoxication, toxin/substance abuse, medication effect/overdose.

Question 3

Walk through the hypoglycemia protocol BLS to ALS

Answer 3

DRABCDE, oxygen, BGL, if pt. alert and able to maintain airway give oral glucose 15g tube, est. IV, cardiac monitor, give dextrose 10% 100ml bolus, repeat in 2 minutes if needed, repeat blood glucose after all medications every 10 minutes.

Question 4

What can you give if dextrose is unavailable?

Answer 4

Glucagon 1 mg IM.