Hypoglycaemic seizure — DipIMC MCQ
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Correct answer: C — Give intravenous glucose or intramuscular glucagon according to access and local protocol
Give intravenous glucose or intramuscular glucagon according to access and local protocol is the best answer because persistent impaired consciousness with confirmed hypoglycaemia requires urgent glucose replacement. Give oral antihistamine as first-line treatment is less appropriate because antihistamines do not treat airway, breathing or circulation compromise; Delay medication until hospital review is less appropriate because time-critical emergency drugs should not wait for hospital arrival. Give intramuscular adrenaline 1 mg and Give nebulised salbutamol as sole treatment are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.
Reference: JRCALC Guidelines; NICE Diabetes guidance