Title 4 Emergency LMV 4.1.pdf ✅

2 | P a g e [ E m e r g e n c y ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Manifestations of Hypoglycemia: Tachycardia, Pounding heart, Hunger, Anxiety, Sweating, Confusion, Altered mentation, Coma Management of Hypoglycemia (Important): Can swallow = can tolerate orally, not vomiting. • If Conscious and Can swallow (can tolerate orally) → give 200 ml fruit juice Or Oral glucose gel. • If Unconscious OR Conscious but Cannot swallow → IV Glucose (In case of IV access is already put). OR IM or SC glucagon 1 mg (2 tubes) (In case of IV line is not available or not put yet or difficult to put as in patients who are having seizure/ convulsions).
3 | P a g e [ E m e r g e n c y ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Bear in mind that unconscious is different from confused. ◙ In-Hospital Management of Hypoglycemia (Summary): • If the patient is confused but able to swallow → glucose gel (can be squeezed into the mouth between the teeth and gums). • If the patient is confused and unable to swallow → IM glucagon or if there is already an IV line then give IV glucose. Sometimes, a question will not tell you if the patient is able to swallow or not. However, you may find in the stem that the patient has been vomiting. Thus, he cannot swallow (cannot tolerate orally). Examples of Used Concentrations (Important): IV Glucose Over 10 minutes 75 ml of 20% glucose 150 ml of 10% glucose Over 15 minutes 100 ml of 20% glucose 200 ml of 10% glucose Every 1-2 minutes 50 ml of 10% solution given every 1-2 minutes until patient is conscious or 250 ml has been given (5 times repititions). Important notes √ Glucagon is ineffective with alcohol-related hypoglycemia. So, if the cause of hypoglycemia is alcohol → insert IV access and administer IV glucose.