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12 Cards in this Set
- Front
- Back
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What are the signs and symptoms of Hyperglycemia? |
* Increased thirst
* Headaches * Blurred vision * Frequent urination * Fatigue (weak, tired feeling) * Weight loss |
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What are the signs of symptoms of Hypoglycemia? |
* Confusion |
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What intervention may the BLS provider perform? |
If patient is a known diabetic, conscious and able to protect their own airway, administer 15g Oral Glucose or if available, a high sugar drink (e.g. non-diet soda, Gatorade, Powerade, juice). |
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How should the hypoglycemic patient with an insulin pump be approached? |
If patient suspected to be hypoglycemic and has an insulin pump, turn it off or disconnect it |
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When should the hypoglycemic patient be treated? |
Capillary blood glucose less than 60 mg/dL or if the patient has signs and/or symptoms of hypoglycemia: |
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What are the four options for treating the hypoglycemic patient |
1) Oral Glucose 2) D10 3) DEXTROSE 4) GLUCAGON |
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What is the dose for Oral Glucose? |
Administer 15 g Oral Glucose if conscious and able to protect their own airway (may repeat x one with BGL < 60) |
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What is the dose for D10? |
Administer 250 mL of D10W intravenous Fluid (250 mL D10W = 25 g) infused wide open (may repeat x 1 with BGL < 60) |
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What is the dose for Dextrose? |
one prefilled syringe of Dextrose 50% (25 g) (via specific formulary administration technique) (may repeat x 1) with BGL < 60 |
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What is the dose for Glucagon |
Administer 1 mg of Glucagon intramuscular if Oral Glucose administration is contraindicated, unable to establish intravenous access or the patient has a history of chronic alcohol abuse (may repeat x one with BGL < 60) |
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After treatment, when should BGL be rechecked? |
Repeat capillary blood glucose check 5 - 10 minutes after treatment |
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At what BGL is a patient to be considered Hyperglycemic? |
If blood glucose greater than 300 mg/dL, administer IV fluid bolus 0.9% Sodium Chloride 500-1000 mL |
