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Should venous sample be used instead of capillary sample for estimation of blood glucose in patients with shock?

Report by: Dr Rasesh Rao, Senior House Officer, A&E

Search checked by: Dr Victoria Goodwin, Consultant A&E

Institution: Prince Charles Hospital, Merthyr Tydfil, UK

Three-part question

(In patients with shock) should (venous sample be used instead of capillary sample) for (accurate estimation of blood glucose with a glucometer)?

Clinical scenario

You are the senior house officer on duty in the emergency department and a 79-year-old man is brought in by his son who states that the patient collapsed at home after having sudden onset central abdominal pain radiating through to the back. He is cold and clammy with a pulse rate of 126/min and his blood pressure reading is 74/46 mm Hg. You commence active resuscitation and the nurse provides you with …

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