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Hypo and Hyperglycem

Review the signs and symptoms of hypoglycemia and hyperglycemia

Decreased level of consciousness; sluggishness progressing to coma; hypoactive reflexes HYPERGLYCEMIA
Weakness, lethargy HYPERGLYCEMIA
Tachycardia, hypotension HYPERGLYCEMIA
Kussmaul breathing (rapid, deep respirations) HYPERGLYCEMIA
Acetone-like or fruity breath HYPERGLYCEMIA
Dry, warm, flushed skin; soft eyeballs HYPERGLYCEMIA
Urine glucose strongly positive; urine ketone levels positive HYPERGLYCEMIA
Gradual onset; pt slow and sluggish; r/t lack of insulin; increased stress HYPERGLYCEMIA
HA, blurred vision, diplopia; drowsiness progressing to coma HYPOGLYCEMIA
Ataxia (defective muscle coordination); hyperactive reflexes HYPOGLYCEMIA
Paresthesias (numbness, tingling); weakness; muscle spasms; twitching progressing to seizures HYPOGLYCEMIA
Tachycardia; palpitations; normal to high BP HYPOGLYCEMIA
Rapid, shallow breathing HYPOGLYCEMIA
Urine glucose negative HYPOGLYCEMIA
Sudden onset; pt appears anxious, drunk; r/t overdose of insulin, missing a meal, increased stress HYPOGLYCEMIA
Created by: tatiannakl