The Internet Book of Critical Care Podcast IBCC Episode 6 - Hypoglycemia
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Oct 10, 2018 This podcast discusses the symptoms, challenges in diagnosing, and importance of early treatment for hypoglycemia. It also explores the approach to treatment, strategies for long-term stability, treatment options, and differential diagnosis for hypoglycemia.
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Check Glucose in Neurologic Patients
- Always check blood glucose immediately in any patient with neurological symptoms.
- Rapid identification and treatment of hypoglycemia can prevent severe brain injury.
Treat Hypoglycemia Appropriately
- If the patient can eat and is alert, provide simple carbohydrates like juice.
- For those unable to eat, give IV dextrose, preferably D10 to avoid vein damage from hypertonic D50.
Maintain Long-Term Glucose Stability
- Maintain glucose stability by providing continuous carbohydrates, preferably complex carbs with fat and protein.
- For intubated patients, initiate tube feeds promptly to prevent bounce in glucose levels.