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Emergency Medicine — UKMLA MCQ

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MediumEmergency MedicineUKMLAMRCEM SBA

An elderly patient is found unconscious with a blood glucose of 1.8 mmol/L. According to UK guidelines, what is the immediate management of severe hypoglycaemia?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — IV dextrose (10-20%) bolus

In severe hypoglycaemia with unconsciousness or inability to swallow safely, IV dextrose is the most rapid and effective intervention. Glucagon is an option if IV access is not available.

Reference: BNF Hypoglycaemia Management