Metabolic

8.4
Metabolic

Hypoglycemia (Figure 8.27)
Hyperkalemia (Figure 8.28)
Malignant Hyperthermia (Figure 8.29)
Neuroleptic Malignant Syndrome (Figure 8.30)

A flow diagram of hypoglycemia. It reads treat with serum glucose less than 60 milligrams per d l or symptomatic, then if the patient loses consciousness, yes means monitor, administer I V dextrose, consider glucagon, monitor blood glucose as indicated if the patient does not regain consciousness or becomes unstable, call for help, no means administer glucose-containing product P O or I V dextrose, wait 15 minutes and recheck serum glucose. The signs or symptoms are diaphoretic, pale, A M S, tachycardia, N P O and diabetic. Drugs used are dextrose 25-gram I V P O glucose, glucagon 1-milligram I M q 15 minutes for adults, naloxone 1 to 4 microgram per kilogram maximum 40 microgram I V q 2 minutes, dextrose 0.5 gram per kilogram maximum 25-gram I V P O glucose, glucagon 25 microgram I M q 15 minutes for paediatrics. — Figure 8.27

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