Monday, December 26, 2011

Hypoglycemic Coma

Diagnosis:

Clinical picture: Sweeting - tremors - hunger - cold - irritable (up to convulsions) - salivation from the mouth in

severe cases as decreased glucose leads to increased osmolar pressure.

History: History of recent large insulin or hypoglycemic drug dose or history of taking normal daily dose but

without eating.

Clinical glucose (random) measuring: usually < 50.

Treatment: 

Start with 100 ml glucose 25% or till recovery.

If you want to measure blood glucose it should be at least 2 hours later.
 

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