PATIENT MANAGEMENT- HYPOGLYCAEMIA

Question 1

a. The patient was in a hurry she took diabetic drugs but skipped her breakfast, your nurse discovered she has hypoglycemic conditions; what are the signs and symptoms of hypoglycemia (4)

Answer 1

 Symptoms: shakiness, anxiety, palpitation, increased sweating, hunger, dizziness

 Signs: tremor, tachycardia, altered consciousness, blood glucose level < 60 mg/dL

Question 2

b. What can you do immediately for managing hypoglycemia for this patient? (4?)

Answer 2

Question 3

c. How to avoid having the same situation next time (3?)

Answer 3

• Morning appointments recommended
  
  • Endogenous cortisol levels are typically higher at this time; because cortisol increases blood sugar levels, the risk of hypoglycemia is less
• Patient should take regular meals before coming to dental appointment
• Look for any signs and symptoms of insulin reaction occurring during dental visit and ready a glucose source nearby.

Question 4

2. Given: radiograph showing a periapical lesion (Summative, 2010)
   a. What are the symptoms of hypoglycaemia?

Answer 4

 Symptoms: shakiness, anxiety, palpitation, increased sweating, hunger, dizziness

 Signs: tremor, tachycardia, altered consciousness, blood glucose level < 60 mg/dL

Question 5

Given: radiograph showing a periapical lesion

b. How do you manage the condition if the patient is hypoglycaemic?

Answer 5

Question 6

3. What are s/s for hyperglycemia?

Answer 6

• Polyuria, polydipsia, polyphagia, glucosuria, weight loss, weakness, nausea, vomiting, abdominal pain
• confusion, diabetes coma (unconsciousness)
• Chronic
  
  • Blurred vision, blindness, foot ulcer, kidney failure