hypoglycaemia

Question 1

Definition

What is the best management

Answer 1

Reduced GCS because of low blood sugar

The best management is the least invasive therapy to restore the BGL

Question 2

Optimal BGL

Answer 2

4-8mmol/l

Question 3

Treatment consideration 1

Answer 3

Glucagon 1IU IM

Question 4

Treatment consideration 2

Answer 4

Oral Glucose 15g

Question 5

Treatment Consideration 3

Answer 5

Glucose 10% IV if decreased GCS

Question 6

Contraindications for Oral Glucose

Answer 6

Cant swallow - decreased GCS

Question 7

Following successful therapy when may it be okay to leave Pt at home (5)

Answer 7

Consumed complex carbohydrates - AND

BGL indicates a stable range for the patient - AND

Has been a previously stable diabetic patient - AND

An identifiable cause has been determined - AND

The Pt resides in a suitable, stable environment

Question 8

Paediatric Hypoglycaemia Tx

Consideration 1: (3)

Answer 8

Basic care

Consider Clinical Support

Oral Glucose if conscious state allows

Question 9

If oral glucose is ineffective in Paeds

Consideration 2

Answer 9

IM glucagon:

• <25kg (6year) 0.5mg
• > 25kg 1mg Glucagon IM

Question 10

If IM glucagon is ineffective in Paeds: (5)

Consideration 3

Answer 10

EOC consult for IV Glucose

Flush line to ensure patency

IV glucose 2mg/kg titrated to neurological function - MAX 5mg/kg

IV FLUSH - 0.9% 1ml/kg

Transport