![]() ![]() written instructions on management to prevent a recurrent hypoglycaemic episode as per Sick Day Plan.signs, symptoms and emergency management of hypoglycaemia.+/- 1 can of 10% glucose polymer with the age-appropriate recipe (Lucozade is an appropriate alternative if more than 5 years of age).On discharge, caregiver/s should be provided with: Admission to an inpatient service is usually required but admission to an SSU (where relevant) may be considered.Ĭhildren with refactory BGLs despite IV therapy or rebound hypoglycaemia on cessation of fluids require admission to an inpatient service. In addition to treating the hypoglycaemia, blood and urine should be collected from all remaining children to screen for an underlying disorder (refer to Investigation section).Īll patients with unexplained hypoglycaemia require a period of observation. Management of child with hypoglycaemia (formal BGL ≤2.6mmol/L)Ĭhildren with a history of prolonged fasting (over 30 hours) and blood ketones >4 can be managed as KH. If formal BGL is greater than 3.0mmol/L, do not send bloods for further investigation.If low normal BGL, push fluids with initial high sugar content (apple juice, flavoured ice block) followed by more complex carbohydrates.Obtain IV/IO access rapidly for child with BGL 2.6 mmol/L If left untreated it can cause convulsions, irreversible brain damage and death. ALERT – Hypoglycaemia is a medical emergency. ![]()
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