Adult Hypoglycemia

Question 1

Adult Hypoglycemia - Hypoglycemic but able to respond to verbal commands treatment?

Answer 1

Oral glucose 25 g q 5 min total of 50 g

Question 2

Adult Hypoglycemia - Hypoglycemic and unable to establish vascular access?

Answer 2

Glucagon 1 mg q 15 min total of 2 mg

Question 3

Adult Hypoglycemia - Hypoglycemic and established vascular access?

Answer 3

D50W 25 g IV/IO q 5 min total of 50 g

Question 4

Adult Hypoglycemia - Treat and refer criteria

Answer 4

> 18 yo
No drugs or ETOH
No concurrent illness
With adult for at least 4 hours
Not taking oral hypoglycemics
No hypoglycemia in last 24 hours
< 50g dextrose or 1 mg glucagon

Question 5

Adult Hypoglycemia - Oral glucose indication

Answer 5

Hypoglycemia

Question 6

Adult Hypoglycemia - Oral glucose dose

Answer 6

25 g PO q 5 minutes, total of 50 g

Question 7

Adult Hypoglycemia - Oral glucose EMS contraindications

Answer 7

Unconscious patients

Question 8

Adult Hypoglycemia - D50W indication

Answer 8

Hypoglycemia

Question 9

Adult Hypoglycemia - D50W dose

Answer 9

25 g SIVP/IO q 5 minutes, total of 50 g

Question 10

Adult Hypoglycemia - D50W EMS contraindications

Answer 10

Allergy to corn or corn products

Question 11

Adult Hypoglycemia - D50W precautions

Answer 11

Ensure patency of IV site after half of dose is administered

The maximum clinical effect is 5 minutes

Question 12

Adult Hypoglycemia - Oral glucose precautions

Answer 12

The maximal clinical effect is 50 minutes

Question 13

Adult Hypoglycemia - Glucagon indication

Answer 13

Symptomatic hypoglycemia

Question 14

Adult Hypoglycemia - Glucagon dose

Answer 14

1 mg IM q 15 minutes, total of 2 mg

Question 15

Adult Hypoglycemia - Glucagon EMS contraindications

Answer 15

Hypersensitivity to glucagon, beef or pork proteins

Question 16

Adult Hypoglycemia - Glucagon precautions

Answer 16

Only effective if there are sufficient glycogen stores in the liver
The maximum clinical effect for glucagon by any route is 25 minutes