Med Surg Severe Hypoglycemia Kayla Villegas/ COMPLETE SOLUTION

Kayla Villegas Professor Aretha Morgan Med Surg Clinical Make Up April 11, 2020 Severe Hypoglycemia 1. What do you think is going on with T.R.? 2. What is the first action you would take? 3. Which ass essment findings would support that T.R. is experiencing a hypoglycemic reaction? 4. If no glucose meter were available, would you treat T.R. on the assumption he is hyperglycemic or hypoglycemic? Explain your rationale. 5. It is 1025. T.R.’s glucose reading is 50 mg/dL. What should your next action be? 6. When you enter the room to administer the juice, T.R is not responsive enough to drink the juice safely. What should you do? ( 7. T.R. is breathing at 16 breaths/min and has a pulse of 112 beats/min and regular. Because outpatient resources vary, describe your actions if (1) your clinic is well equipped for emergencies or (2) your clinic has no emergency supplies. - (1) If the clinic is well equipped for emergencies, have T.R. eat a simple carbohydrate. In a case where T.R. might be placed on NPO, other alternatives would be giving intravenous (IV) bolus 50% dextrose or giving intramuscular IV. 8. What questions would you ask to find out what precipitated this event? Did you skip a meal? Did you administer the correct dose of your insulin or sulfonylureas? Did you eat less than usual the day of the hypoglycemic event or the days before? Have you been following a regular eating schedule? Did you engage in physical activity or moderate exercise? Did you consume any alcohol? Did you consume any drugs? What medicines or herbal supplements have you been taking? Have you gained or lost weight lately? 9. What further action do you need to take at this time? I would take the patient’s vital signs to check if he is stable, I would also recheck his blood sugar levels and assess if the client is able to eat and drink. I would also assess his ability to stand up, if he has any pain, and most importantly, I would provide food for him if his blood sugar level is low.