Hypoglycemic medical directive Flashcards
indications for hypoglycaemic medical directive
agitation or
altered LOA or
seizure or
symptoms of stroke
glucagon conditions
altered
hypoglycaemic
hypoglycaemic for <2 and >=2
<3mmol/L in less than 2
<4mmol/L >=2
contraindications of glucagon
allergy or sensitivity to glucagon
pheochromocytoma
hypoglycaemic directive <25kg treatment
0.5mg
20min
max 2 doses
hypoglycaemic directive >=25kg treatment
1mg
20min
max 2 doses
if patient responds to glucagon what do you do?
provide glucose or simple carb
if patient has mild s/s exhibited what do you do
oral glucose or simple carb
if a patient refuses transport in hypoglycaemic event, what do you do
another set of vitals and another BS reading
what does metformin do
decrease glucose production in the liver and increases insulin senitivity
glyburide function
long acting
increase in insulin production
sulphonylurea
gluconorm function
short acting
similar to sulphonylurea
meglintide
taken with food
