Hypoglycaemia | Cheat Sheet - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

445

Pages:

4
Author:

Mariam A. A.

Hypoglycaemia Causes Medications overdose – most common Diabetes management Too much insulin Oral anti-hyperglycaemia medications -> the combinations Esp sulfonylurea Most common cause Anti-malaria Beta blockers Salicylates Iron Adrenal or pituitary disease Insulinoma Tumour related hypoglycaemia Pancreatitis Adddison Inadequate food intake Vomit Cortisol deficiency Seizures Endogenous hyperinsulinemia Things to ask about in history Presenting complaint Onset of symptoms Last oral intake Time of last insulin or oral hypoglycaemic Pre-hospital treatment Medical and surgical history Recent illness or infection Current medications Known allergies Clinical features Confusion Dizziness Unsteady gait Diaphoresis or clammy Tremor Pallor Nausea Hunger Irritability Concentration issues Numbness or tingling around the face Anxiety or fear Red Flags Historical Clinical Diabetes ALC Insulin overdose Agitation Alcohol abuse Seizures Pancreatitis Suspected drug overdose Pituitary insufficiency Hypothermia Liver disease Visual disturbances Addison disease Speech difficulties Management Clinical Assessment Position Conscious: position of comfort Unconscious or decreased consciousness: supine Airway Patency and manoeuvres Breathing Ventilation Oximetry: If dyspnoeic -> titrate to maintain SpO2 of more than 93% If at risk of hypercapnia -> titrate to maintain 88 – 92%. Circulation Perfusion: Cap refill Skin warmth Colour Pulse Cardiac rhythm – ECG IV cannula Features of shock: Tachycardia and CRT of more than 3 seconds Abnormal skin perfusion Hypotension Disability GCS Pupillary response Limb strength Pain Exposure Temperature Skin inspection Including posterior surfaces Fluids Hydration status Fluid balance charts

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