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Re: HYPOS and seizures WASRe: [IPk] Constant highs



Michael,

I'm talking about medical management of someone with a severe hypo who is
unconscious. The choice is between i.v. glucose, around 20ml of 50%, which
GPs carry as part of their emergency kit, and glucagon. By comparison, iv
glucose works faster and has less ill effects an hour later, although a good
intravenous access is necessary. Glucagon is better for use at home, because
it can be given into skin or muscle.

Anyone alert enough to sit up, look at you and open their mouth should be
given glucose by mouth, I keep lucozade and get through quite a lot, even
though I try to limit the dose to around 1/2 cup. The 'best test' is to
think ...if it goes down the wrong way, am I sure he/she will cough? If so,
give it by mouth, if not, get out your glucagon or ring the ambulance. Many
people are not close to a hospital, and would ring the GP for most urgent
things as well. If so, ring the GP when giving glucagon as minimising the
effect of a hypo at any age is well worth a house call to any GP. (Print and
keep this mail, and show it to the GP if he dared to complain!)

Tony
----- Original Message -----
From: "Michael" <email @ redacted>
To: <email @ redacted>
Sent: Thursday, June 20, 2002 10:14 PM
Subject: Re: HYPOS and seizures WASRe: [IPk] Constant highs


> >
> Our endo was very specific about this. Oral glucose can be given more
> quickly and in much large quantity the IV glucose. IV glucose damages
> the blood vessels and the amount run in an IV has to be carefully
> monitored. Damage to blood vessels is one of the reasons it is so
> difficult to nourish a person IV that is unable to take food in the
> normal fashion.
>
> Michael
> email @ redacted
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