Hypoglycaemia work-up

Asa trebuie sa investigam hipoglicemia la Alder Hey (la pacienti non-diabetici)

Blood sugar <>

PLEASE:

• FILL ALL ENCLOSED TUBES
• FILL CIRCLES ON SCREENING CARD
• PUT ONE ORANGE TUBE ON ICE (AMMONIA)
• RING LAB TO TELL THEM A HYPOGLYCAEMIA WORK UP IS COMING
• OBTAIN FIRST VOIDED URINE AFTER PRESENTATION

REQUEST:

• GLUCOSE, LACTATE
• INSULIN, CORTISOL, GROWTH HORMONE
• AMMONIA (ON ICE)
• KETONES, FREE FATTY ACIDS
• AMINO ACIDS
• U & E
• ACID-BASE (GAS TUBE)
• CARNITINE, ACYL-CARNITINE (SCREENING CARD)
• URINE ORGANIC ACIDS (DIP FOR KETONES ALSO)

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