Hypoglycemia vs Hyperglycemia

Hyperglycemia

Symptoms

Dry mouth, thirst, frequent urination, blurred vision, weakness, and headache.

Treatment

Insulin. Hydration. Oral hypoglycemics for DM type 2, diet, & exercise.

Causes

Diabetics who are non-compliant. Stress. Surgery. Sepsis. Steroids

Nursing Priorities

Monitor glucose. Electrolytes. Hydration. Educate. 

Hypoglycemia

Symptoms

Diaphoresis (sweaty), Palpitations, Headache, Irritability and Shakiness, Fatigue, Weakness, Confusion, Can lead to a coma and seizures without treatment

Treatment

15 grams of carbohydrates if conscious (juice, OJ, skim milk, soda).  If unconscious, give Dextrose 50% IV or Glucagon IV or IM. 

Causes

Too much insulin, too much oral hypoglycemics, too much exercise, & not eating enough

Nursing Priorities

Check blood sugar 15 minutes after treatment. Education. 

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