HYPOGLYCEMIA PLAB 2 SIMMAN Station| SIMMAN Hypoglycemia| SIMMAN HYPOGLYCEMIA| PLAB2 SIMMAN Approach|
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- Опубліковано 14 жов 2024
- In this video I am going to discuss how to manage simman station of hypoglycemia. Then you will enter the room of hypoglycemia simman station you will see that patient will be unconscious. So you have to follow a b c d e approach because unconsciousness good video to a lot of reasons.
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Dr Faraz
I just wanna thankyou for your SIMMAN series. They have been a great help for so many people.
Always welcome dear ❣️
Thank you Dr Farza for these videos which are very helpful for all Plab 2 candidates
I strongly advise doctor- pls keep guide line in each scenario when it is needed. So that we will not be confused .
Thanks ur videos are too good
Please do alchoholic hypoglycaemia as well
Thanks
Thank you very much for your kind help via this video
It's really very helpful
Dr can u pls do alcoholic hypoglycemia?
Hello..
Do I need to secure the airway with OPA? As the patient is not conscious and not responding?
Thank you for the SIMMAN series Doctor!
The patient is unconscious and given there are no ambulance notes, do we need to triple immobilization first?
Stay on FY2 level dear don’t go in ATLS guidelines
Can you plz explain what should we do in hypoglycemia in an alcoholic patient?
Nice!
Question...Shouldn't it be 150 ml of 10% dextrose or 75 ml of 20% glucose?
Dextrose/Glucose
25% 100ml
Or
10% 200ml
Or
5% 400ml
Dear Dr , guideline says= Dextrose 20% 75 ml ; or Dextrose 10% 150ml ; or Dextrose 50% 30 ml ( but risk of extravasation injury)
Can you pls clear us the confusion.
@@rameshlamichhane592 that is when you give it over 10 mins. when you give it in 15 minutes, the quantity is 100 and 200ml.
During step 'C', after inserting IV cannula and mentioning relevant investigations, can we request the examiner blood glucose level as well? Or do we have to wait till step 'D' for it?
Yes you can say but BM has nothing to do with bloods it is done by a prick method
@@DoctorsJourneytoUK Thanks for your reply! Makes sense now. I missed such a silly point. Glucometer comes in step 'D', hence it is more appropriate to request blood glucose level in that step only.
Thank you ☺️
I think ECG is ordered when you get to Circulation , not breathing
In B-chest do all the things related to chest XR, ECG and ABGs
Do we need to admit this patient?
Offcourse for initial 6 -12 hours. Don't send home straight away. Involve medics and they'll do rest of the things
what is the purpose of inserting a catheter in this station?
what about GCS?
why do we need to pass a catheter in a hypoglycemic patient?
If the Oxygen level and RR is normal,why do we still have to give high flow oxygen in hypoglycemia?
Who told you to give ?
Watch the video carefully please no one said to give Oxygen
What about IM Glucagon?
You have repeat Dextrose 3 times before moving to Glucagon. You remember it but no need to verbalise just go on with Dextrose but if you have given it 3 times and Glucose is still low then you can go for Glucagon
@@DoctorsJourneytoUK Thank you doctor. But as per NICE guidelines
In an emergency, if the patient has a decreased level of consciousness caused by hypoglycaemia, intramuscular glucagon can be given by a family member or friend who has been shown how to use it. If glucagon is not effective after 10 minutes, glucose 10% intravenous infusion should be given.
@@DoctorsJourneytoUK Hypoglycaemia which causes unconsciousness is an emergency. Patients who are unconscious, having seizures, or who are very aggressive, should have any intravenous insulin stopped, and be treated initially with glucagon. If glucagon is unsuitable, or there is no response after 10 minutes, glucose 10% intravenous infusion, or alternatively glucose 20% intravenous infusion should be given.
You are right.
Keep this in your mind please
Pt conscious = Start Oral Gel then Dextrose .
2- Pt Unconscious : A- Have I.V. Access = Start Dextrose.
B- No I.V. Access = Start Glucagon 1mg I.M then Dextrose.
this approach is different ,and also in real exam patient become confused after administering of glucose , he will not be alert .we need to check the GCS of the patient if unresponsive also that i did my exam
Please when did you check consciousness level? A or D? And how did you check
U just mentioned head tilt, chin lift , jaw thurst look feel listen chest , then move to the moniter .afterwards move to A than again B ..can u plz confirm do we need to access breathing two times here in this station ?
Initially head tilt, chin lift jaw thrust, listen and look.
Do A
Then B including Inspection, Palpation, percussion and auscultation