hypoglycaemia

Question 1

causes of hypoglycaemia.

Answer 1

too much insulin 
sulphonyureas 
insulinoma
liver failure 
addisons disease
alcohol

Question 2

what is the treatment for a hypoglycaemic coma?

Answer 2

50ml 50% dextrose IV bolus
followed by 0.9% saline
if persistent give dexamethasone 4mg/4hr IV (cerebral oedema)

if no IV access give 1-2mg IM glucagon

Question 3

management of hypoglycaemic coma with no IV access ?

Answer 3

IM glucagon

Question 4

what medication would you give if hypoglycaemic coma persisted after giving the bolus of dextrose ?

Answer 4

IV dexamethasone 4mg/4hr to combat cerebral oedema