【Yang Yeh】評論
節錄自Contemporary Ch2 Prevention and Management of Medical Emergencies p35-36If a patient with diabetes indicates a feeling of low blood sugar or if signs or symptoms of hypoglycemia appear, the procedure being performed should be stopped and the patient should be allowed to consume a high-caloric carbohydrate such as a few packets of sugar, a glass of fruit juice, or other sugar-containing oral agent (glucose gel or paste). If the patient fails to improve rapidly, becomes unconscious, or is otherwise unable to take a glucose source by mouth, venous access should be gained and an ampule (50 mL) of 50% glucose (dextrose) in water should be administered intravenously over 2 to 3 minutes. If venous access cannot be established, 1 mg of glucagon can be given intramuscularly. If 50% glucose and glucagon are unavailable, a 0.5-mL dose of 1 : 1000 epinephrine can be administered subcutaneously and repeated every 15 minutes as needed (Fig. 2.10).(A) 若只是初期可以使用,已經意識模糊則不建議(B) IM非PO(C) 改為50%