Chapter 18 Diabetic Emergencies Slide Presentation prepared by
Chapter 18 Diabetic Emergencies Slide Presentation prepared by Randall Benner, M.Ed., NREMT-P 2012 Pearson Education, Inc. Learning Objectives Understand the basic disease process associated with diabetes mellitus.
Differentiate between hyperglycemia and hypoglycemia. List the signs and symptoms of hyperglycemia. List the signs and symptoms of hypoglycemia. Describe and demonstrate the first aid care of a severe hyperglycemic victim. Describe and demonstrate the first aid care of a hypoglycemic victim. 2012 Pearson Education, Inc. Introduction More than 14 million diabetics in the U.S.
First indication of the disease often occurs when a patient experiences their first diabetic emergency First Aiders can provide better care when they understand the underlying disease process and management goals. 2012 Pearson Education, Inc. Diabetes Overview Role of insulin in glucose transport into cell Glucose levels rise in the blood stream, causing
additional complications. Cells resort to using fat and proteins for glucose creation. Without insulin, the glucose still cannot enter the cell. 2012 Pearson Education, Inc. Use of Sugar in Diabetes 2012 Pearson Education, Inc. Types of Diabetes
Type I (IDDM) Little or no insulin production Usually starts in childhood Type II (NIDDM) Insufficient secretion of insulin, or low sensitivity of cells to insulin presence Formerly known as adult onset diabetes Gestational diabetes Occurs as a result of pregnancy Managed with diet, and occasionally, medications
2012 Pearson Education, Inc. Hyperglycemia Characteristics Hyperglycemia (high levels of glucose) Glucose spills into urine, patient becomes dehydrated and acidic Altered mental status, dehydration, poor vitals Fever, hyperventilation, abdominal pain Fruity odor on breath, air hunger Frequent urination, intense thirst
2012 Pearson Education, Inc. Hyperglycemia Signs & Symptoms 2012 Pearson Education, Inc. Hypoglycemia Characteristics Hypoglycemia (low levels of glucose) Low glucose levels result in brain dysfunction and changes in mental status Possibly combative, dizzy Rapid pulse and breathing, blood pressure usually
normal Seizures or tremors No thirst, no excessive urination Moist, pale skin, no fever 2012 Pearson Education, Inc. Hypoglycemia Signs & Symptoms 2012 Pearson Education, Inc. Other Assessment Considerations
Always assess for history of diabetes in unresponsive patients. Medical Alert Tag Insulin injection marks on thigh or abdomen Insulin pump on the body Evidence of diabetic medicine near/on patient
If in doubt, the careful administration of sugar to the patient will not be harmful. 2012 Pearson Education, Inc. Hyperglycemia vs. Hypoglycemia 2012 Pearson Education, Inc. First Aid: Hyperglycemic Victim
Take standard precautions, activate EMS. Consider manual stabilization of cervical spine. Open and maintain the airway. Provide artificial ventilations if breathing is inadequate. Be alert for vomiting, position patient on their side if no trauma is suspected. Treat for shock, keep the patient warm. Reassess and reassure the victim until EMS
arrives. 2012 Pearson Education, Inc. First Aid: Responsive Hypoglycemic Victim Take standard precautions, activate EMS. If patient can follow commands Administer orange juice with added sugar. Administer concentrated oral glucose if available.
Do NOT give hard candy. Watch for vomiting, position patient on side. Treat for shock, keep the patient warm. Reassure and monitor the victim until EMS arrives. 2012 Pearson Education, Inc. First Aid: Unresponsive Hypoglycemic Victim
Take standard precautions, activate EMS. Consider manual stabilization of cervical spine. Open and maintain the airway. Provide artificial ventilations, if necessary. Watch for vomiting.
Position patient on their side if no trauma is suspected. Treat for shock, keep the patient warm. Monitor continuously until EMS arrives. 2012 Pearson Education, Inc. Summary Diabetes is a common disease in the U.S. population. The disease occurs when the body produces too little insulin or cannot effectively use the insulin it produces.
Hyper- and Hypo- glycemia are the two conditions that arise from diabetic complications. Untreated diabetes, hyperglycemia, and hypoglycemia are serious conditions requiring medical intervention. 2012 Pearson Education, Inc.
Dutch Parliament recently adopted a new public library law. The new library . landscape. ... Daisy books should be catalogued not as a special edition of the printed book (as we were doing), but as a new manifestation of the...
Physics 1161: Lecture 22a De Broglie Waves, Uncertainty, and Atoms sections 30.5 - 30.7 * 51% correct * * * Outgoing photon has momentum p and wavelength Recoil electron carries some momentum and KE Incoming photon has momentum, p, and...
Contact Caroline Cully (UF International Center Advisor) at 294-3335 or . [email protected] Contact Allison Costa in the financial aid office about using your funding to pay for your credit hours ... PowerPoint Presentation Last modified by:
The Philippines became a U.S. possession, and the United States put down an independence movement there. It annexed Hawaii after white planters overthrew the native monarchy. In China, it applied its Open Door Policy to limit foreign control and maintain...
Types of Resistance Training Isometric Isotonic Isokinetic Circuit training Plyometric Chapter 4 Training and Conditioning Principles of conditioning Warm-up and cool-down Motivation Overload (SAID) Consistency Progression Intensity Specificity Individuality Minimize stress Safety Flexibility and Stretching Limited by???
Area 4 ZC of llocos Norte- Past President Dr Purisima A. Bueno on 21 June 2018; ZC of Tuguegarao - Balbina Flojo Fermin on 12 June 2018 Area 5 ZC Makati Ayala - Wilhelmina Tanchion 8 June 2019; ZC Muntinlupa...
Ready to download the document? Go ahead and hit continue!