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14 Cards in this Set
- Front
- Back
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What are the indications?(4) |
(1)agitation or (2)altered LOA or (3)seizure or (4)symptoms of stroke
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What are the conditions for this protocol? (2)
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(1) Altered LOA and (2) hypoglycemia
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What are the contraindications for Dextrose? |
Allergy or sensitivity to dextrose |
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What are the contraindications for Glucagon (2)
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Allergy or sensitivity to glucagon
Pheochromocytoma |
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What are the BGT values that signifies hypoglycaemia
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Over the age of 2 years: <4 mmol/L
under the age of 2: <3 mmol/L |
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How do we make D25W? |
push out 1/2 of D50 and fill it back up with normal saline |
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How do we make D10W? |
In a 10cc needle, draw 2 cc of D50 then fill the rest of the needle with normal saline
This will make 1g of dextrose in 10 mL |
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How much D10W do we give for a patient under 30 days? |
0.2 g/ Kg (2mL/Kg) to max of 5g (50mL) q. 10 mins to a max dose of 2 |
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How much D25W do we give for a patient that is over and equal to 30 days and under 2 years? |
0.5 g/Kg (2ml/kg) to a max of 10g (40ml) q.10 mins to a max of 2 doses |
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How much D50 do we give for a patient equal or greater then 2 years? |
0.5 g/kg (1ml/kg) to max of 25 g (50 ml) q. 10 mins to a max of 2 doses |
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How much glucagon we we give? |
Under 25 Kg: IM 0.5 mg q. 20 mins to a max of 2 doses
Over/ equal to 25 Kg: IM 1mg q.20 mins to max of 2 doses |
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If a patient responds to dextrose or glucagon but still hypoglycaemic what do we give? |
oral glucose |
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Mild signs of hypoglycaemia and unaltered LOA what can we give if you don't want to start a line or give a needle? |
oral glucose |
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If a patient refuses transport what do we have to include in our ACRs? |
Full set of vitals including a blood glucometry |
