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4 Cards in this Set
- Front
- Back
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specific info needed
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A) onset: sudden or gradual, when was patient last well?
B) HX: recent stress, emotional or physical, last meal, presence/absence of hunger or thirst C) Past HX: Diabetes Mellitus, last insulin (time/amt) oral hypoglycemics, overdose, stroke |
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specific physical findings
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A) vital signs
B) breath odor C) mental status D) Skin: color, temperature, hydration E) signs of adrenalin effect: diaphoresis, tachycardia, tremor, seizures F) medical alert tag |
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Treatment
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A) ABC's
B) O2 C) Start IV if ALOC D) check CBG if altered LOC and blood glucose less then 60 1. administer glucose orally if pt is awake and able to protect airway 2. D50 for ALOC peds dose 0.5g/kg -less then a year D25 -less then 1 month D12 3. If unable tos tart IV, glucagon 1.0mg E) If pt is insulin dependent diabetic who refuses transport after treatment, and has a full return to consciousness, have pt sign refusal -document repeat chemstrip and vitals, mental status, and absence of other complaints -recommend the patient eat a meal, and contact his/her personal MD to report the incident F) if the patient is on oral hypoglycemic meds, every effort should be made to transport, including physician consult |
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Specific Precautions
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A) the diabetic will frequently know what is needed, listen to the patient and family
B) hypoglycemia can present as: seizures, coma, behavior problem, intoxication, confusion or stroke like picture with focal deficits (Todd's Paralysis) C) Elderly pts, or who have been hypoglycemic for a long time take longer to awaken D) sugar should be given to any diabetic with ALOC S/S diabetic coma -dehydration -kussmaul respirations -gradual onset |
