| |
| Special Notes |
| Pt may be aggressive during management. |
| Ensure IV patent before administering Dextrose.
Extravasation of Dextrose can cause tissue necrosis. |
| Ensure sufficient advice on further management and
follow-up if Pt refuses transport. |
| |
| General Care |
| If Pt’s next meal more than 20min. away, encourage the
Pt to eat a long acting carbohydrate (e.g. sandwich,
piece of fruit, glass of milk) to sustain BGL to next meal. |
| If adequate response, maintain initial Mx and transport. |
| If the Pt refuses transport, repeat the advice for transport
using friend/relative assistance. If Pt still refuses
transport, document the refusal, and leave Pt with a
responsible third person and advise the third person of
actions to take if symptoms re-occur and of the need to
make early contact with LMO for follow up. |
| If inadequate response transport without undue delay. |
| Maintain general care of unconscious Pt and ensure
adequate airway and ventilation. |
| Further dose of Dextrose 10% may be required in
some Hypoglycaemic episodes. Consider consultation
if BGL remains less than 4 mmol/L and unable to
administer oral carbohydrates |
| Continue initial Mx and transport. |