Hypoglycaemia
Pre-reading
| Hypoglycaemia |
Workbook Questions
Case 1
An 18-month old girl presents to ED with a viral illness for the last 3 days, last night she had one vomit and would not take her usual nighttime bottle. This morning she appears very lethargic and disinterested in food. The triage nurse decides to do a BSL, which reveals a BSL of 2.3 and Ketones of 7.1
Case 1
An 18-month old girl presents to ED with a viral illness for the last 3 days, last night she had one vomit and would not take her usual nighttime bottle. This morning she appears very lethargic and disinterested in food. The triage nurse decides to do a BSL, which reveals a BSL of 2.3 and Ketones of 7.1
- What is the definition of hypoglycaemia?
- What is your immediate management priority?
- You insert an IV cannula, what bloods will you send to the lab?
- Are there any other investigations you might consider?
- Following your initial treatment she is more much alert and you admit her to SSU, what would be your ongoing choice of fluid therapy and how might you deliver this?
- Will you continue to check her BSL once in SSU?
- How will you decide when she is ready to be discharged, what advice will you give to her parents and what follow up will you arrange?