Hypoglycemic adults who were visiting the emergency department Hypoglycemia Emergency departments Dextrose
Conditions
Interventions
A 1000 ml bag of 10% dextrose in 0.45% sodium chloride solution was drawn with a 50 ml syringe from the bag via an IV set connected with a three-way stopcock and extension tube for the treatment of hy
10% dextrose 15 grams,10% dextrose 20 grams,50% dextrose in water
Sponsors
Somdejphrajoataksinmaharaj Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 120 Years
Inclusion criteria
Inclusion criteria: 1.Adults aged 18 years and older who experienced hypoglycemia, defined as a finger stick capillary blood glucose level less than 70 mg/dL. 2. Individuals with abnormal levels of consciousness or those recommended for intravenous glucose treatment by a treating physician despite normal consciousness. 3.Patients who were treated for hypoglycemia according to the study protocol and then brought to the emergency department by advanced life support teams were included, as well as patients who visited the emergency department directly.
Exclusion criteria
Exclusion criteria: 1.A patient who was in cardiac arrest 2. A treating physician or lead member of the advanced life support team suspected impending or ongoing respiratory failure due to volume overload
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of patients who had capillary blood glucose levels within 80-180 mg/dL after intravenous glucose bolus. At 15 minutes and 60 minutes after iv bolus glucose Measure the number of patients who had finger stick capillary blood glucose levels within 80-180 mg/dL. | — |
Secondary
| Measure | Time frame |
|---|---|
| The mean capillary blood glucose level after treatment with intravenous glucose bolus 15 minutes and 60 minutes after initial intravenous glucose bolus Capillary blood glucose at 15 minutes and 60 minutes ,Incident of patients who had hypervolemia and required treatment within 24 hours after the initial intravenous glucose bolus 24 hours after the initial treatment of the intravenous glucose bolus or at discharge if it occurred before 24 hours The number of patients who were treated with intravenous diuretics or emergency hemodialysis, which are not part of the regular cycle for routine hemodialysis of the patient,The mean difference of capillary blood glucose from baseline 15 minutes and 60 minutes after initial intravenous glucose bolus Mean difference of capillary blood glucose after treatment from baseline capillary blood glucose | — |
Countries
Thailand
Contacts
Public ContactKanjanee Wachirarangsiman
Somdejphrajoataksinmaharaj Hospital
Outcome results
None listed