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Neuroglycopenic Hypoglycemia - Coggle Diagram

- - - - DTX = 24% mg%
      - Received Insulin injection 30 Unit SC
      - Do not eat in the morning
      - Evaluation GCS = E1V1M1
      - Have a history of diabetes
    - - To prevent complications from low blood sugar levels
    - - The blood sugar level is in the normal range 70-100 mg.
      - FBS not less than 60 mg.
      - Vital Sign Normal
      - No symptoms, cold hands and feet, light pulse, rapid seizure
    - - 6.Observe symptoms, surveillance symptoms, change in consciousness assessment, GCS = E4V5M6 continued nursing care.
      - 5.DTX g 1 hour to check blood sugar levels After receiving 50% Glucose 50 ml. Push
      - 4.V / S g measurement 4 hours abnormal, medical report
      - Administer intravenous fluids according to treatment plan to 12.5% DN / 2 1000 ml. V80ml / hr.
      - Take care that 50% Glucose 50 ml push.
      - Evaluate the hypoglycemia of DTX puncture patients. And Lab results (CBC, BUN, Elyet, BG, Hba).
  - - - Listen to the lungs, hear Crepitation.
      - O2 Saturation 85%
      - Respiration rate 22 beats / minute
      - Fluff the mouth
      - Listen to the lungs, find Stridor with secretion.
    - - This prevents obstruction of the airways and promotes adequate oxygen intake.
    - - The patient does not have symptoms of hypoxia.
      - O2 Saturation ≥ 95%
      - normal respiratory rate Between 16-24 times / minute
      - Listening to lungs normally, no Stridor found
    - - Evaluate vital signs
      - Listen to breathing and lungs.
      - Take care of the posture for the patient to lie on his side high.
      - Take care to get O2mask with bag 10 LPM.
      - 5.Valium 10 mg.IV push
      - Follow up laboratory results Chest X-ray
      - Observe symptoms, surveillance, care for continuing nursing.
  - - - The patient said that he forgot to give food in the morning. Eat only coffee
      - DTX = 24 mg%
      - The patient said that he had already had 1 unconscious seizure.
    - - To prevent hypoglycemia
        To promote diabetes knowledge to look at yourself when you return home
    - - The patient did not recur hypoglycemia.
      - FBS not less than 60 mg.
      - No symptoms, cold hands and feet, light pulse, rapid seizure
      - Patients do not return to treatment with hypoglycemia.
    - - Assess your knowledge of insulin injections and diet.
      - Give advice on eating knowledge as follows
        
        Eat breakfast regularly every day.
        
        Reduce the consumption of starchy foods
        
        Reduce cooking oil By avoiding fried foods, fried, greasy and the use of coconut milk frequently.
        
        Avoid food that is sweet or very salty.
      - Make insulin injections as follows: - Inject insulin at the same area every day Just move the injection point By spraying about 1 inch away from the original point
        
        Inject the original volume Do not adjust the injection drug by yourself.
      - Come follow the appointment every time.