Hypoglycaemia management, Paediatric Emergency Department

Mild

Moderate   

Severe

Sweating
Headache
Anxiety
Jelly legs
Difficulty concentrating 

Dizziness
Visual disturbance

Tremor
Pallor
Tachycardia
Change in behaviour
Lethargy
Slurred speech
Unsteady gait
Confused

Altered consciousness
Convulsions

'PAEDS HYPOGLYCAEMIA ADDITIONAL ESSENTIAL'
(Sample can be taken AFTER administration of glucose)

‘PAEDS HYPOGLYCAEMIA ‐ TIME CRITICAL SAMPLES’
(Samples required PRIOR to administration of glucose)

To order the TIME CRITICAL SAMPLES then follow these steps:

1. Ensure patient highlighted on ED screen then click on 'NEW REQUEST' tab.
2. Click on "LABS - CHILD"
3. On the right side of the screen type the requested tests in section titled 'ITEM' then hit 'F6' key
4. Select appropriate test in pop-up screen

**ALWAYS SELECT THE "-CHILD" OPTION FOR THE TEST REQUESTED (WHEN AVAILABLE)**

HINTS:

• For FFAs type 'free' then hit the F6 key
• For C - Peptide ensure there is a space either side of the '-' before hitting F6
• For Beta OH Butyrate type 'beta' then hit F6 key
• Remember lactate is taken on a capillary gas tube and processed in the ED

'PAEDS HYPOGLYCAEMIA ADDITIONAL ESSENTIAL'
(Sample can be taken AFTER administration of glucose)

To order the ADDITIONAL ESSENTIAL SAMPLES then follow the same process as above.

**ALWAYS SELECT THE "-CHILD" OPTION FOR THE TEST REQUESTED (WHEN AVAILABLE)**

HINTS:

• For Acylcarnitine ensure you select the option with 'BS' at the end.
• For Urinary Organic Acids type 'organic' then hit F6 key

ONLY STICK ONE 'TRAKCARE' LABEL TO THE CORRESPONDING TUBE.

THE REMAINING LABELS SHOULD REMAIN ON THE REQUEST FORM
AND ACCOMPANY THE SAMPLES TO THE LAB.