QuestionSBA
QuestionChoice
This is inappropriate; the patient may aspirate if oral intake is encouraged. They should receive IV glucose. Carbohydrates are useful after the intial episode has been managed to help build glucose stores.
10028300
e
Carbohydrate snack (e.g. a slice of toast)
QuestionChoice
This is inappropriate; the patient may aspirate if oral intake is encouraged. They should receive IV glucose.
10028299
d
A glass (200ml) of orange juice
QuestionChoice
This would be inappropriate as the patient has reduced consciousness and has IV access in situ, meaning they can receive IV glucose to rapidly correct their hypoglycaemia.
10028297
b
10g oral glucogel
QuestionChoice
This would be appropriate if IV access had not been gained, however glucagon can take some time to work, so IV glucose is the most important next intervention.
10028298
c
Intramuscular glucagon
QuestionChoice
This patient is suffering from severe hypoglycaemia. As they have IV access in situ, IV glucose should be administered to rapidly correct this.
10028296
a
100ml of 20% intravenous glucose
Concept
Chapter
2693
6048
Emergency management of hypoglycaemia
Topic
161
Emergency Medicine
18057
100 ml of 20% intravenous glucose contains 20 grams of glucose and is used to rapidly correct severe hypoglycaemia by providing an immediate source of glucose to raise blood sugar levels.
A patient is brought in to the emergency department by ambulance after being found seizing on the street. They are carrying no identification and their past medical history is unknown. They are not currently seizing. An A-E assessment is performed:


 * Airway - patent, nil added sounds
 * Breathing - no signs of respiratory distress, clear chest, oxygen saturations 100% on 15lpm oxygen
 * Circulation - cool and clammy, no added heart sounds, heart rate 94 beats/minute, blood pressure 100/68 mmHg, 2x cannulae in situ
 * Disability - rouses to pain. Blood glucose 1.2 mmol/L
 * Exposure - no obvious wounds or rashes, abdomen soft


What is the most important next intervention?
a