03-03-2020, 01:47 PM
Seizure 2° Hypoglycemia
Created November 2019
Developed by:
Christina Choung
Developed for: Health Authority Medical Inpatient
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: No
Case Summary:
Patient recently admitted for cellulitis of the arm requiring antibiotics, with history of Insulin-dependent Diabetes II, chronic kidney disease, hypertension, and smokes. Is late for lunch and came up the stairs 15 minutes ago due to elevator malfunction. Case will begin with nurse bringing patient lunch, whereupon patient will seize (tonic clonic) twice, first seizure lasting 2 minutes and second lasting 1 minute. Case will end after hypoglycemia determined, corrected, and plan of care verbalized post-second seizure.
Target Learning Groups:
Physicians, Nursing, Respiratory Therapy, Interprofessional Team
Additional Target Learning Groups:
Proposed Setting:
Medical Inpatient
Educational goals:
• Identify and treat hypoglycemic seizure
• Practice SBAR communication
• Establish role clarity and distribute workload appropriately
• Call for help early
• Use cognitive aids and mobilize resources, including Clinical Policy Office documents for Seizure and Hypoglycemia Protocol
Additional Details:
References:
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