unconciousness / hypoglycemia

Question 1

IF A PATIENT CAN tolerate np or oropharnhyeal airway is that a concern?

Answer 1

We will be more concerned of the patency of airway would immediatly call itu and crash call team

Question 2

managmnet of severe hypoglycemia ?

Answer 2

IV 100 ml of 20 percent glucose stat

if no iv route present IM 1mg of glucagon

if hypoglycemia is the cause of unconciousness then patinet shuld reposnd within ten minutes

further iv lgucose not given until blood glucose is read

once patinet alert - give carbohydrte richfood or dextro gel

Question 3

common cause of hypoglycemioa ?

Answer 3

most common causes are : alcohol and insulin and sulphonylurea and other medications

other causes can be addison disease , adrenal failure , liver failure , hypopitutrism insulinoma

Question 4

when IM glucagon is given no response what is the most likely cause ?

Answer 4

glucagon works on the liver
to intiate glycogenolysis

that fact that glucagon is not increase the blood glucose can indicate liver failure due to excess alcohol use

Question 5

infomration given to diabetes who drin

Answer 5

it can increase our chance of hypoglycemia especiallhy taking alcohol in an empty somach

alcohol inhibits the ability of the liver to release glucose -This impairment can last for several hours after drinking alcohol.

important to take additional carbohydrates before going to sleep at night after drinking alcohol, to avoid overnight hypoglycaemia.

Question 6

DVL rules for diabetes ?

Answer 6

all drivers must have hypolycemic awareness and the early signs of hypoglycemia

Patients must inform the DVLA if they drive and take insulin or sulphonylureas

with HGV licence -
there has not been any severe hypoglycaemic event in the previous 12 months
must show adequate control of the condition by regular blood glucose monitoring*, at least twice daily and at times relevant to driving

for group 1:
not more than one episode of hypoglycaemia requiring the assistance of another person within the preceding 12 months and no relevant visual impairment.

should always be encouraged to check their blood glucose before driving and take regular breaks to test their blood sugar.

If the blood sugar is less than 5.0 mmol/L - should not drive.

If they have a hypo they should treat it and not drive for at least 45 minutes, until blood sugars above 5.0 mmol/L.

Question 7

if there is a suggestion of alcohol causing hypoglycaemia what will you administer ?

Answer 7

There is a suggestion that the patient has been using alcohol.

I would make sure that I have given the patient IV pabrinex to reduce the risk of precipitating Wernicke’s encephalopathy.
due to lack of thiamine