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PAEDIATRIC ALTERED
CONSCIOUS LEVEL GUIDELINE |
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Round two
3. Capillary glucose
3b) (i)
In children with reduced conscious level, a capillary
glucose of less than 2.6 mmol/l is low and should be
investigated further and corrected.
|
Position |
Comment |
|
Biochem |
Including a quantitative glucose |
|
Endo |
Think it is important to stress the need to confirm hypoglycaemia in lab as bedside measurements all less accurate at extremes |
|
PICU |
corrected – confirmed – investigated further |
Agreed |
Neither agree nor disagree |
Disagreed |
|
97% |
3% |
0% |
3b) (ii) In children with a reduced conscious level, a capillary glucose of 2.6 – 3.5 mmol/l is borderline low and should be repeated within 10 minutes.
|
Position |
Comment |
|
Radiol |
Seems sensible to take lower level at 2.6 AND repeat after 10 mins if interim |
|
Metab |
10 mins is too soon. Suggest 20 mins |
|
Paed ED |
Would be inclined to treat and assess response |
|
Paed |
I agree that this is probably not the cause of the problem BUT cerebral glycpoenia will potentially worsen outcome and I would want this corrected early. |
|
Biochem |
Important that check is with a quantitative blood glucose |
|
Endo |
? within 30 mins |
|
Neuro |
?too short an interval |
|
PICU |
repeated and blood drawn true glucose |
|
Metab |
but take a venous bl glu sample immediately in any case |
|
Agreed |
Neither agree nor disagree |
Disagreed |
|
66% |
31% |
3% |