Low blood sugar, juice or D50? Low blood sugar, juice or D50? - pg.4 | allnurses

LEGAL NOTICE TO THE FOLLOWING ALLNURSES SUBSCRIBERS: Pixie.RN, JustBeachyNurse, monkeyhq, duskyjewel, and LadyFree28. An Order has been issued by the United States District Court for the District of Minnesota that affects you in the case EAST COAST TEST PREP LLC v. ALLNURSES.COM, INC. Click here for more information

Low blood sugar, juice or D50? - page 5

Last night I had a patient with a BS of 39. I had just finished giving report on her when she asked us to check her BS. Since the oncoming nurse still had to get report on a few more patients, I... Read More

  1. Visit  SelenaS profile page
    #39 1
    Surely, you cannot believe that most people die with a bs of 39. Having been a type 1 for almost 20 years, I can tell you that my sugar hits the 30s at least one a month, and I am still kicking. Guess I have hundreds of lives or perhaps great luck?
  2. Visit  amoLucia profile page
    #40 0
    After reading all the responses, I think you all are talking acute care/hospital. In LTC, I've had to fight to have appropriate snacks and juices avail. Some places only supply that phoney orange-aid punch. And good luck trying to obtain any substantial sandwiches; sometimes even sugar packs are a bene-luxury.

    Some places are better than others; some lock up their kitchens at 7pm (supervisor may or MAY NOT have a key). Don't get me started on food availability for 11 - 7 shift's early send-outs, like dialysis, hosp ORs, etc.

    But if I get a really brittle diabetic, I get a prn glucogen order. I also ensure the availability of glucose jelly (even if I keep my own supply). I personally check for all the meds, glucometer supplies, etc so I know my 11 - 7 staff can manage low BS episodes; and they have all become very proficient doing so. I worked with a diabetic nurses who was a stickler for other diabetics, so I guess part of her rubbed off on me. (Thank you LD!)
  3. Visit  CoffeeGeekRN profile page
    #41 0
    I'm late to this but my advise as coming from a critical care/ED and type 1 diabetic is if the pt is alert & oriented, can answer questions appropriately, and cooperative give them the oral treatment of juice, crackers and protein. At a level below 50 mg/dl I would give them the equivalent of 30 grams of fast acting carbohydrates and add some protein. If the pt is not cooperative, confused or uncooperative, then I would go right for the D50 or glucocon. The pt will forgive you afterwards. =-)
  4. Visit  turnforthenurse profile page
    #42 0
    Does your hospital have a hypoglycemia management protocol? Typically if the patient is awake and alert and not NPO, you go ahead and perform a "rescue intervention" by giving them 15gm of carbohydrate. If they are NPO and/or not alert, then you go with the amp of D50. If they didn't respond to the rescue intervention, I would have grabbed the D50. You need to recheck the blood sugar, though. Our protocol is within 20-30minutes after performing a rescue intervention.

Must Read Topics