Premium Wordpress Themes by UFO Themes
Insulin shock is an acute condition from excessive insulin in the blood, resulting in low blood glucose levels (less than 50 mg per dL), convulsions, weakness, and coma.
Overdose of insulin
Skipped meal in an insulin-dependent diabetic
Strenuous exercise in an insulin-dependent diabetic
Increased irritability (nervousness)
Sweating and clammy (fainting)
Mental confusion and bizarre behavior
If conscious, give fruit juice (orange juice).
If unconscious, IV 50% dextrose (50 mL at 10mL per min). Most patients regain consciousness in 5 to 10 minutes.
Complication of diabetes mellitus resulting from extreme hyperglycemia. Plasma glucose may be in the range of 350 to 900 mg per dL.
Failure to take adequate amounts of insulin
First manifestation of an undiagnosed diabetic
Conditions that increase the patient’s requirements for insulin (infection, trauma)
Orthostatic hypotension with tachycardia and poor skin turgor (due to dehydration)
Abnormal mentation or unconscious
Kussmaul breathing—deep, rapid respiratory pattern (due to acidosis)
Fruity breath odor (due to acetone)
UA is strongly positive for both glucose and ketones.
In severe cases, give bicarbonate to correct pH.
Temporary inadequate supply of blood to the brain from a vasovagal response (fainting)
Hot airless room
Prodrome (Prior to Fainting)
Patient complains of feeling hot.
Dimming of vision
Skin is cool, clammy, pale, and diaphoretic
WordPress theme by UFO themes