HealthDiseases and Conditions

How is emergency treatment for hypoglycemic coma

Hypoglycemic coma can appear in careless patients in the treatment of diabetes. In its essence, this is an insulin overdose, which causes a significant drop in blood glucose levels. This state is extremely dangerous for life, and today we will talk about the rules for helping a person in a coma.

Emergency care for hypoglycemic coma. The causes of this condition

Often, insulin-dependent patients with diabetes try to introduce themselves not a fractional part of the daily dose of insulin, but immediately the entire volume. Such a violation of the doctor's recommendations is dangerous by a sharp decrease in blood glucose and the development of coma, which can lead to brain edema and even to the death of the patient. In addition, a coma can develop in a person who does not know that he is sick with diabetes. By the way, almost 30% of the patients found this ailment in their own due to coma.

Emergency care for hypoglycemic coma. Symptoms of this condition

By characteristic signs, it can be determined that the patient begins hypoglycemic coma. As a rule, this condition is expressed by the following symptoms:

  • There is unreasonable anxiety, fear;
  • Paleness of the skin is observed;
  • The body covers a cold, sticky sweat;
  • There is a speech disorder ;
  • Muscle weakness, and sometimes convulsions;
  • Headache and a feeling of severe hunger;
  • Consciousness is confused;
  • There is a shiver in the whole body.

Symptoms can manifest themselves in different variations, but all the same they gradually lead to the fact that the patient falls into an unconscious state. To prevent this, it is necessary to urgently offer him something sweet: sugar, jam, honey or just a piece of bread. However, in some cases, immediately a loss of consciousness occurs.

Emergency care for hypoglycemic coma

Coma requires urgent medical attention. But before it is provided, others can alleviate the condition of the patient. The main thing in this case is an urgent recovery of the glucose level.

To do this, you need to do the following:

  1. Turn the patient to the side (the pose should be stable).
  2. Do an injection of dextrose.
  3. Intramuscular or intravenous injection of glucagon.
  4. If the patient is able to swallow, help him drink hot sweet tea, eat honey, jam, raisins or glucose dissolved in water. But in no case do not do this if the patient is unconscious!

With the diagnosis of "hypoglycemic coma" treatment in the hospital will be conducted with strict control of the amount of glucose in the blood. As a rule, the patient is given a solution of glucose (40%), repeating it in half an hour, and at low pressure - intravenously 1 ml of mezatone solution (1%). Adrenaline is injected subcutaneously (0.1% solution).

Emergency care for hypoglycemic coma. How to avoid a dangerous state

In order not to cause such a critical state of the body, a diabetic patient is very important to remember the recommended diet, that before physical exertion it is necessary to reduce the dose of insulin, but the amount of carbohydrates in food, on the contrary, increase. Medicines must be taken only according to the doctor's prescription.

It is also important to check regularly the level of sugar in the blood and have tablets or injections of glucagon with you. It's good, if a patient with diabetes mellitus wears a bracelet with information about his illness. Then people who were at a critical moment nearby, can quickly navigate the situation, and first aid for hypoglycemic coma will be properly.

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