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Blood Glucose Measuring Devices in the Pre-Hospital ... - CNY EMS

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Cl<strong>in</strong>ical <strong>Pre</strong>sentation<br />

Hypoglycemia<br />

(BG < Normal)<br />

• Normal or rapid<br />

respirations<br />

• Pale, moist sk<strong>in</strong><br />

• Diaphoresis<br />

• Dizz<strong>in</strong>ess, headache<br />

• Rapid pulse<br />

• Normal or low BP<br />

• Altered mental status<br />

• Anxious or combative<br />

• Seizure or fa<strong>in</strong>t<strong>in</strong>g<br />

• Coma<br />

• Weakness simulat<strong>in</strong>g CVA<br />

Hyperglycemia<br />

(BG > 200 mg/dl)<br />

•Kussmaul respirations<br />

•Dehydration with dry, warm sk<strong>in</strong><br />

and sunken eyes<br />

•Polydipsia: excessive thirst<br />

•A sweet or fruity (acetone) odor to<br />

breath<br />

•Polyphagia: excessive hunger<br />

•Poor wound heal<strong>in</strong>g<br />

•Rapid and weak pulse<br />

•Polyuria: excessive ur<strong>in</strong>ation<br />

•Blurred vision, fatigue<br />

•Normal or slightly low BP<br />

•Vary<strong>in</strong>g degrees of<br />

unresponsiveness that onsets more<br />

slowly than <strong>in</strong> hypoglycemia<br />

26

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