A 70-year-old man on ICU is receiving a continuous IV insulin infusion for stress hyperglycaemia. His blood glucose drops to 2.8 mmol/L. He is intubat...

Question

A 70-year-old man on ICU is receiving a continuous IV insulin infusion for stress hyperglycaemia. His blood glucose drops to 2.8 mmol/L. He is intubated and sedated. What is the most appropriate treatment?

Accepted Answer

50 mL of 50% glucose (25 g) IV bolus, followed by 10% glucose infusion and reassessment

Answer

Oral glucose gel via NG tube

Answer

IV glucagon 1 mg IM

Answer

Reduce insulin rate and wait

Answer

IV hydrocortisone 100 mg

uk-fficm MCQ (SBA): Hypoglycaemia in ICU

A 70-year-old man on ICU is receiving a continuous IV insulin infusion for stress hyperglycaemia. His blood glucose drops to 2.8 mmol/L. He is intubated and sedated. What is the most appropriate treatment?