Scribd Logo
Upload

Welcome to Scribd!

  • Hypoglycaemia: Ann-Marie Ross

    Uploaded by

    Seán Mc Cann
    7 views11 pages
    This document discusses hypoglycemia, including its definition, causes, signs and symptoms, and management. Hypoglycemia is defined as a blood glucose level below 4 mmol/L, though symptoms may present at higher levels. People with type 1 or type 2 diabetes treated with insulin or sulfonylureas are most at risk. Causes of hypoglycemia in hospitals include reduced carbohydrate intake or continued high insulin doses. Signs and symptoms vary and can include tremors, blurred vision, and headaches. Management involves treating with 15-20g of fast-acting carbohydrates followed by 15-20g of long-acting carbohydrates. The new protocol specifies treatments for conscious versus unconscious patients and monitoring blood glucose

    Original Description:

    Hypoglycaemia presentation

    Original Title

    Hypoglycaemia Presentation

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document discusses hypoglycemia, including its definition, causes, signs and symptoms, and management. Hypoglycemia is defined as a blood glucose level below 4 mmol/L, though symptoms may present at higher levels. People with type 1 or type 2 diabetes treated with insulin or sulfonylureas are most at risk. Causes of hypoglycemia in hospitals include reduced carbohydrate intake or continued high insulin doses. Signs and symptoms vary and can include tremors, blurred vision, and headaches. Management involves treating with 15-20g of fast-acting carbohydrates followed by 15-20g of long-acting carbohydrates. The new protocol specifies treatments for conscious versus unconscious patients and monitoring blood glucose

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    7 views11 pages

    Hypoglycaemia: Ann-Marie Ross

    Uploaded by

    Seán Mc Cann
    This document discusses hypoglycemia, including its definition, causes, signs and symptoms, and management. Hypoglycemia is defined as a blood glucose level below 4 mmol/L, though symptoms may present at higher levels. People with type 1 or type 2 diabetes treated with insulin or sulfonylureas are most at risk. Causes of hypoglycemia in hospitals include reduced carbohydrate intake or continued high insulin doses. Signs and symptoms vary and can include tremors, blurred vision, and headaches. Management involves treating with 15-20g of fast-acting carbohydrates followed by 15-20g of long-acting carbohydrates. The new protocol specifies treatments for conscious versus unconscious patients and monitoring blood glucose

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 11

    HYPOGLYCAEMIA

    ANN-MARIE ROSS

    AIMS
    What is hypoglycaemia
    Possible causes
    Signs and symptoms
    Management
    New protocol

    DEFINE HYPOGLYCAEMIA
    Hypoglycaemia is a blood glucose less than
    4mmols/l
    Hypoglycaemia symptoms may present in people
    with BG above this
    Treat the symptoms not just the blood glucose

    OCCURRENCE
    People treated with insulin and
    sulphonylureas are most prone to hypos
    T1DM 2 hypos per week
    T2DM on insulin 1 every 2 weeks

    (1)

    POSSIBLE CAUSES OF HYPOGLYCAEMIA


    IN HOSPITAL
    Reduced portion sizes of carbohydrate
    Continued on large doses of insulin
    Acute renal impairment
    Incorrect prescription of insulin

    SIGNS & SYMPTOMS VARY IN PEOPLE


    Day

    Pounding heart
    Hunger
    Drowsiness
    Sweating
    Blurred vision
    Trembling
    Unable/difficulity
    concentrating

    Nocturnal

    Morning headaches
    Poor sleep
    Tiredness
    Vivid dreams/
    nightmares
    Night sweats

    MANAGEMENT
    15 20g FAST acting carbohydrate

    Followed with 15 20g long acting carbohydrate

    PROTOCOL
    Conscious
    Glucogel
    X 1 2 tubes
    Glucotabs X 4 5 tabs
    Glucojuice X 1 bottle

    Unconscious / unable to
    swallow

    IM glucagon 1mg
    100mls 20% dextrose
    IV over 15 mins

    DO NOT ADMINISTER LONG ACTING CARBOHYDRATE


    FIRST !!!!

    CONT.
    Recheck blood glucose 15 mins post treatment
    If not above 4 mmols/l repeat fast acting
    If above 4 mmols/l give long acting carbohydrate
    i.e. slice toast / 2 X plain biscuit
    If IM glucagon used replenish stores with 40g
    carbohydrates (can take up to 24hrs of eating to
    restore liver stores)

    KEY POINTS

    Always look at your patient


    Treat any hypo symptoms
    4 = floor
    Fast acting comes first
    Long acting after
    Keep hypo box in accessible area
    Refer to DSN if IP

    REFERENCES
    Ostenson, C et al. 2014. Self-reported non-severe
    hypoglycaemic events in europe. Diabetes Medicine 31 (1)
    pg92-101

    You might also like