A nurse found a patient to be pale, diaphoretic, and lethargic. The capillary blood sugar was checked with the level of 39mg/dl. The patient is responsive and does not have any planned procedures. The nurse found the tube feeding was off. What intervention should the nurse plan to take?
Explanation & Rationale
Rationale: A. Have the patient drink orange juice: Since the patient is responsive and able to swallow safely, the priority is to provide a fast-acting carbohydrate like orange juice. This quickly raises blood glucose without invasive interventions. B. Give 1 dose of glucagon SQ: Glucagon is indicated for severe hypoglycemia when the patient is unresponsive or unable to swallow. It is not the first-line intervention for a responsive patient. C. Give the patient 3 sugar tablets: This is also an appropriate oral option for mild to moderate hypoglycemia, but orange juice works faster because it is liquid and more rapidly absorbed. D. Give the patient 1 amp of IV Dextrose 50%: IV dextrose is reserved for severe hypoglycemia in patients who are unconscious or unable to take oral glucose safely. It is not necessary in this case since the patient is alert and can take oral carbs.