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Hypoglycemic and Diabetic Emergencies
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The most common patient medical emergency in a dental office is hypoglycemia. Over 1 in 10 Americans who have routine dental visits are unaware that they're at risk for prediabeteres or diabetes.
Sources: Crest + Oral-B DentalCare and National Institutes of Health
Your Response Matters
| Indication | Signs and Symptoms | Medication | Dosage & Route |
|---|---|---|---|
| Altered Consciousness Hypoglycemia | Conscious 'Cold, sweating, shaking' Mental confusion (possible aggressive behavior) Slurred speech Pallor, blurred vision Tachycardia (rapid heart rate) Possible loss of consciousness | InstaGlucose Orange Juice | Conscious: Oral Carbohydrate: InstaGlucose and Orange Juice Unconscious: Oxygen: 15 Liters/Minute |
Position comfortably—usually upright preferred.
Ensure the patient is in a comfortable position before proceeding.
Administer Oral Carbohydrate.
Administer InstaGlucose inside of the mouth between the cheek and the gums. If available, allow the patient to sip on orange juice.
Permit recovery.
If patient remains conscious and alert, allow them to recover at their own pace. If patient loses consciousness, proceed to the tab labeled Patient is Unconscious.
Position supine with feet elevated slightly.
Contact EMS.
Before beginning any procedures, contact EMS immediately.
Provide oxygen.
Deliver oxygen at a rate of 15 liters per minute to the patient.
Do not administer oral carbohydrate.
Avoid putting anything into the unconscious victim’s mouth.
Monitor and record patient vital signs.
Check important vital signs, including BP, O₂ saturation, and respiratory rate.
Get the Guide: Management of Medical Emergencies by Dr. Stanley Malamed, DDS
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