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Questions and Answers

Initial management for a confused 70-year-old male with type 2 diabetes should include:

Performing a rapid exam and obtaining vital signs.

Administering one to two tubes of oral glucose.

Assisting the patient with his diabetic medication.

Applying a nonrebreathing mask at 15 L/min. (correct)

Diabetic ketoacidosis occurs when:

Blood glucose levels rapidly fall.

The pancreas produces excess insulin.

The cells rapidly metabolize glucose.

Insulin is not available in the body. (correct)

Insulin shock will MOST likely develop if a patient:

Markedly overeats and misses an insulin dose.

Misses one or two prescribed insulin injections.

Takes too much of his or her prescribed insulin. (correct)

Eats a regular meal followed by mild exertion.

A 75-year-old male with type 1 diabetes presenting with chest pain should be treated as though he is experiencing:

A heart attack. Signup and view all the answers

In contrast to insulin shock, diabetic coma:

Can only be corrected in the hospital setting. Signup and view all the answers

Assessment of a patient with hypoglycemia will MOST likely reveal:

Combativeness. Signup and view all the answers

Which of the following statements regarding glucose is correct?

The brain requires glucose as much as it requires oxygen. Signup and view all the answers

When obtaining a SAMPLE history from a patient with diabetes, it would be MOST important to determine:

If he or she has had any recent illnesses or excessive stress. Signup and view all the answers

You are treating a 40-year-old male with a blood sugar reading of 300 mg/dL. Definitive treatment for this patient includes:

Insulin. Signup and view all the answers

Kussmaul respirations indicate that the body is:

Attempting to eliminate acids from the blood. Signup and view all the answers

A 28-year-old female patient with type 1 diabetes is found unresponsive. You should suspect that she:

Is significantly hyperglycemic. Signup and view all the answers

During your assessment of a 19-year-old male being treated with factor VIII, this indicates that:

He has hemophilia A. Signup and view all the answers

A 19-year-old male with insulin on a table cannot remember if he ate. After assessing his blood glucose level is 'error', in addition to administering oxygen, you should:

Contact medical control and administer oral glucose. Signup and view all the answers

A 42-year-old male found unresponsive should be managed by suspecting:

Intracranial bleeding. Signup and view all the answers

Glutose is a trade name for:

Oral glucose. Signup and view all the answers

A man finds his wife unconscious, who has type 2 diabetes. Your assessment should first include:

Open and maintain her airway and assess breathing. Signup and view all the answers

Excessive eating caused by cellular 'hunger' is called:

Polyphagia. Signup and view all the answers

An acute accelerated drop in the hemoglobin level occurs during a(n) __________ crisis.

hemolytic Signup and view all the answers

Diabetic coma results from:

Hyperglycemia, ketoacidosis, and dehydration. Signup and view all the answers

Patients with uncontrolled diabetes experience polyuria because:

Excess glucose in the blood is excreted by the kidneys. Signup and view all the answers

Hypoglycemic crisis tends to develop more often and more severely in children because:

They do not always eat correctly and on schedule. Signup and view all the answers

A patient acting erratically while holding a baseball bat indicates you should:

Retreat at once and call law enforcement. Signup and view all the answers

Patients with type 2 diabetes usually control their disease with all the following, EXCEPT:

Supplemental insulin. Signup and view all the answers

Diabetes is MOST accurately defined as a/an:

Disorder of carbohydrate metabolism. Signup and view all the answers

Glipizide, a non-insulin-type medication, is another name for:

Glucotrol. Signup and view all the answers

The normal blood glucose level, as measured by a glucometer, is between:

80 and 120 mg/dL. Signup and view all the answers

When assessing an unconscious diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the:

Rate and depth of breathing. Signup and view all the answers

Ketone production is the result of:

Fat metabolization when glucose is unavailable. Signup and view all the answers

A 30-year-old female with sickle cell disease presents with severe acute pain. You should suspect that:

Her spleen is enlarged because of red blood cell engorgement. Signup and view all the answers

Classic signs and symptoms of hypoglycemia include:

Cool, clammy skin; weakness; tachycardia; and rapid respirations. Signup and view all the answers

Study Notes

Endocrine and Hematologic Emergencies

Initial management for a confused patient with diabetes should include nonrebreathing mask application at 15 L/min.
Diabetic ketoacidosis occurs when insulin is unavailable in the body, preventing proper glucose metabolism.
Insulin shock is most likely to develop from excessive insulin intake.
A patient with type 1 diabetes experiencing chest pain and weakness should be treated as if having a heart attack, despite blood glucose concerns.
Diabetic coma is not easily correctable outside a hospital setting, unlike insulin shock which can be quickly reversed.
Hypoglycemia assessment often reveals combativeness as a key indicator.
The brain requires glucose as much as oxygen, highlighting glucose's critical role in brain function.
Inquire about recent illnesses or stress when gathering a SAMPLE history from diabetic patients, as this is crucial information.
Definitive treatment for a semiconscious diabetic patient with high blood sugar (300 mg/dL) involves insulin administration.
Kussmaul respirations indicate the body's attempt to eliminate acids from the blood due to metabolic disturbances.
A significantly hyperglycemic patient may present with confusion and excessive urination, indications of poor blood glucose control.
Factor VIII treatment indicates hemophilia A diagnosis.
For patients unable to recall insulin intake, contacting medical control for oral glucose administration is critical.
Unresponsive patients with hemophilia and low blood glucose levels may have intracranial bleeding; assist ventilations and transport urgently.
Glutose refers to oral glucose used for diabetic emergencies.
In unresponsive diabetes patients, prioritize maintaining airway and assessing breathing for effective management.
Polyphagia denotes excessive eating due to cellular hunger, a common symptom in diabetes.
Hemolytic crises result in accelerated red blood cell breakdown and a drop in hemoglobin levels.
Diabetic coma results from hyperglycemia, ketoacidosis, and dehydration, highlighting the severity of untreated diabetes.
Excess glucose in the blood is excreted by kidneys, explaining why uncontrolled diabetes leads to polyuria.
Children are more susceptible to hypoglycemic crises due to irregular eating habits.
In potentially dangerous situations with confused patients, safety precautions such as calling law enforcement may be necessary.
Type 2 diabetes management varies, but supplemental insulin is generally not included.
Diabetes refers to a disorder of carbohydrate metabolism, emphasizing its systemic implications.
Glipizide, also known as Glucotrol, is used to control blood sugar levels without insulin.
Normal blood glucose levels range from 80 to 120 mg/dL, essential for managing diabetes.
In unconscious diabetic patients, observe breathing patterns to differentiate between hyperglycemia and hypoglycemia.
Ketone production signifies fat metabolism when glucose is insufficient, indicating severe energy deficits in cells.
In sickle cell disease, acute abdominal pain may suggest splenic engorgement due to compromised circulation from the disease.
Classic hypoglycemia signs include cool, clammy skin, weakness, tachycardia, and rapid respiration, guiding diagnosis and treatment.

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Untitled Quiz

Questions and Answers

Initial management for a confused 70-year-old male with type 2 diabetes should include:

Diabetic ketoacidosis occurs when:

Insulin shock will MOST likely develop if a patient:

A 75-year-old male with type 1 diabetes presenting with chest pain should be treated as though he is experiencing:

In contrast to insulin shock, diabetic coma:

Assessment of a patient with hypoglycemia will MOST likely reveal:

Which of the following statements regarding glucose is correct?

When obtaining a SAMPLE history from a patient with diabetes, it would be MOST important to determine:

You are treating a 40-year-old male with a blood sugar reading of 300 mg/dL. Definitive treatment for this patient includes:

Kussmaul respirations indicate that the body is:

A 28-year-old female patient with type 1 diabetes is found unresponsive. You should suspect that she:

During your assessment of a 19-year-old male being treated with factor VIII, this indicates that:

A 19-year-old male with insulin on a table cannot remember if he ate. After assessing his blood glucose level is 'error', in addition to administering oxygen, you should:

A 42-year-old male found unresponsive should be managed by suspecting:

Glutose is a trade name for:

A man finds his wife unconscious, who has type 2 diabetes. Your assessment should first include:

Excessive eating caused by cellular 'hunger' is called:

An acute accelerated drop in the hemoglobin level occurs during a(n) __________ crisis.

Diabetic coma results from:

Patients with uncontrolled diabetes experience polyuria because:

Hypoglycemic crisis tends to develop more often and more severely in children because:

A patient acting erratically while holding a baseball bat indicates you should:

Patients with type 2 diabetes usually control their disease with all the following, EXCEPT:

Diabetes is MOST accurately defined as a/an:

Glipizide, a non-insulin-type medication, is another name for:

The normal blood glucose level, as measured by a glucometer, is between:

When assessing an unconscious diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the:

Ketone production is the result of:

A 30-year-old female with sickle cell disease presents with severe acute pain. You should suspect that:

Classic signs and symptoms of hypoglycemia include:

Study Notes

Endocrine and Hematologic Emergencies

Studying That Suits You

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