Endocrinology Book

http://www.fpnotebook.com/

Hypoglycemia Management

Advertisement

  1. Indications
    1. Diabetes Management
  2. See Also
    1. Hypoglycemia
  3. Preparations
    1. Oral: Equivalents of 15 grams glucose (1 carbohydrate)
      1. Three glucose tablets (or 15 grams of glucose gel)
      2. Fruit juice 1/2 cup (4 ounces)
      3. Regular soda 3/4 cup (6 ounces)
      4. Milk 1 cup (8 ounces)
      5. Honey or corn syrup 3 teaspoons
      6. Crackers (6 saltine crackers)
    2. Glucagon Intramuscular or Subcutaneous
      1. Precautions
        1. Transient effects only
        2. Ineffective when Liver Glycogen depleted
        3. Vomiting and aspiration risk
          1. Roll patient onto their side when used
      2. Dose
        1. Teens and adult: 1 mg
        2. Children: 0.5 mg (0.5 ml) or 15 mcg/kg
    3. Administer Intravenous Dextrose
      1. Bolus: 10-20 ml of D50W IV
      2. Maintenance: D10W IV at 100 cc/hour until stable
      3. Keep plasma glucose over 100 mg/dl
      4. May require 10 grams/hour IV
  4. Protocol
    1. Mild Hypoglycemia (BG 60-70 mg/dl): Give 15 carb grams
      1. Glucose oral gel 40% 15 grams orally or
      2. Glucose 3 tablets orally or
      3. Juice 4 ounces orally
    2. Moderate Hypoglycemia (BG 45-59): Give 20 carb grams
      1. Glucose oral gel 40% 20 grams orally or
      2. Glucose 4 tablets orally or
      3. Juice 6 ounces orally or
      4. Dextrose 50% 25 ml IV
    3. Severe Hypoglycemia (BG <45): Give 30 carb grams
      1. Glucose oral gel 40% 30 grams orally or
      2. Glucose 6 tablets orally or
      3. Juice 8 ounces orally or
      4. Dextrose 50% 25 ml IV
    4. Unconscious with severe Hypoglycemia (BG<45)
      1. Dextrose 50% 25 ml IV or
      2. Glucagon 1 mg SQ or IM (0.5 mg for child)
        1. Vomiting and aspiration risk
        2. Roll patient onto their side when used
  5. Protocol: Glucose monitoring
    1. Monitor Blood Glucose every 15 minutes until >100 mg/dl
    2. Redose glucose replacement per above every 15 min prn

Hypoglycemia management (C0150254)

ConceptsTherapeutic or Preventive Procedure (T061)
EnglishHypoglycaemia management, Hypoglycemia management
Spanishmanejo de la hipoglucemia
CreditsDerived from the NIH UMLS (Unified Medical Language System)



Navigation Tree