For me through my internship period
till today (10 months of internship), the drug that I have found to be a sort
of magic is 50% dextrose.
Well, commonly patients land in ER brought by their
relatives in a state of unconsciousness or altered consciousness the GCS being
5-8 /15.
Just a brief history often reveals person is a chronic alcoholic and
had alcohol the before night. At the same time, on doing GRBS, you get
hypoglycemic reading (<60 mg%) at times I have also got as low as
18 mg% .
Open the IV line and push 50% dextrose 50 ml.====
the effect is so rapid that the patient opens his eyes all of a sudden, stares
here and there as if woken by someone from a deep sleep, he feels thirsty and
looks around for water.
I
am now used to such patients and the response but I vividly remember my first
encounter with such patient in ER and for me it was totally a MAGIC the
response of patient (hypoglycemic-secondary to heavy alcohol intake and missing
the meals) to 50% dextrose...
For me through my internship period
till today (10 months of internship), the drug that I have found to be a sort
of magic is 50% dextrose. 18 mg% .
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