Treat and Refer - Hypoglycaemia Flashcards

1
Q

Who is the Hypoglycaemia treat and refer guideline targeted at?

A

Adult patients with diagnosed diabetes who have fully recovered from an episode of hypoglycaemia and have consumed oral carbohydrates.

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2
Q

Why is there an increased risk if leaving a pt at home who takes oral diabetic medications?

A

Long duration of action, increased risk of recurrent hypo.

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3
Q

What reasons might cause a pt without diabetes to have a hypoglycaemic episode?

A
  1. Drug/alcohol overdose
  2. Liver/endocrine disease
  3. Tumour
  4. Sepsis
  5. Malnourishment
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4
Q

What are some appropriate glucose options for the pt to take in future hypo’s?

A

6-7 jelly beans, 1 tbsp of honey, a cup of fruit juice.

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5
Q

Within what timeframe should the pt contact their diabetes provider about their hypo?

A

24hrs

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6
Q

What are the contraindications for Treat and Referring a hypo?

A
  1. Incomplete recovery to normal conscious state
  2. Risk of prolonged or recurrent hypoglycaemia
    - Unwitnessed onset/prolonged episode
    - Oral hypoglycaemic meds
    - Overdose on medication (intentional/accidental)
    - Unable/unwilling to eat carbohydrates
    - Unable to be monitored by adult for >4hrs
  3. No diagnosis of diabetes
  4. Suspected causes requires further investigation
  5. Injury or seizure sustained
  6. Pregnancy
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7
Q

If a hypoglycaemic pt is being treat and referred, what is the management?

A
  1. Provide pt with health info sheet
  2. Refer pt to usual diabetes PCP within 24hrs
  3. Confirm BGL >4, and pt remains GCS15 at least 10 minutes after last treatment.
  4. Remove IV if cannula required
  5. Confirm pt understands advice given
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