Читать книгу Management of Complications in Oral and Maxillofacial Surgery - Группа авторов - Страница 41

Hypoglycemia is a potential complication of ambulatory anesthesia anytime a preoperative fasting period has been observed. Diabetics, young thin females, and the elderly are particularly at risk, but any patient may experience signs and symptoms of hypoglycemia. Minimizing the preoperative fasting period and giving IV fluids preoperatively (or having them available) may help to prevent hypoglycemia. In addition, recognizing patients who are at risk (such as diabetics) and monitoring their blood glucose via fingerstick is a very effective management strategy. Hypoglycemia may present with nonspecific signs and symptoms such as dizziness, tachycardia, hypotension, sweating, shaking, or nausea but can be easily diagnosed with a simple handheld glucometer. Hypoglycemia is easily treated with an oral or IV sugar source. In situations of severe symptomatic hypoglycemia, an injection of D50 (50% dextrose) or glucagon may be given.