lightsandsirens5
Forum Deputy Chief
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Well, that other thread about an interesting DM pt reminded me of a call I had a while ago. I didn't want to completely hijack the other thread, so here's mine.
60ish yom. Initially found lying "sprawled out" supine on his bed. Sweaty, warm. Bigger pt, maybe 300 lbs. Initial BGL of 12. Got a line and admin 25ml of D50. After 5 min BGl was up to 60. No change in LOC. Admin 25 more of D50. BGL came up to 190. Pt became responsive to loud verbal at this point, but was not A&O by any streach of the imagination. We loaded him up and began transport. During transport, I twice gave 25ml of D50 which brought his BGL up to 310 and brought him back to A&Ox4. Within 10 minutes though, he had dropped to 200 and was no longer A&O. When he dropped below 150 a while later, I gave 25 more per med control and got a BGL of 200+. He was then A&O for the remaining 20-30 minutes of transport and maintained a stable BGL the whole time. I gave a total of 125ml of D50, but only the last 25 seemed to work as advertised. Could it be because he was so low to start his body used it up right off the bat and by the time I gave him the last 25 he was good to go and didn't use it right away? I just didn't understand how I could give 125ml and only end up with a BGL of around 200. I have given 25-50 before and seen it go from BGL of 20 in a comatose pt to an A&Ox4 pt by the time I can push it all and a BGL of 345 within 5 mins.
Any ideas?
60ish yom. Initially found lying "sprawled out" supine on his bed. Sweaty, warm. Bigger pt, maybe 300 lbs. Initial BGL of 12. Got a line and admin 25ml of D50. After 5 min BGl was up to 60. No change in LOC. Admin 25 more of D50. BGL came up to 190. Pt became responsive to loud verbal at this point, but was not A&O by any streach of the imagination. We loaded him up and began transport. During transport, I twice gave 25ml of D50 which brought his BGL up to 310 and brought him back to A&Ox4. Within 10 minutes though, he had dropped to 200 and was no longer A&O. When he dropped below 150 a while later, I gave 25 more per med control and got a BGL of 200+. He was then A&O for the remaining 20-30 minutes of transport and maintained a stable BGL the whole time. I gave a total of 125ml of D50, but only the last 25 seemed to work as advertised. Could it be because he was so low to start his body used it up right off the bat and by the time I gave him the last 25 he was good to go and didn't use it right away? I just didn't understand how I could give 125ml and only end up with a BGL of around 200. I have given 25-50 before and seen it go from BGL of 20 in a comatose pt to an A&Ox4 pt by the time I can push it all and a BGL of 345 within 5 mins.
Any ideas?