Block Exam 6 Flashcards

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Questions and Answers

Patients with thrombophilia are at an increased risk for:

  • Various cancers
  • Hemorrhagic stroke
  • Pulmonary embolism (correct)
  • Acute arterial rupture

When you respond to a residence for a patient who is not acting right and begins shouting while holding a baseball bat, you should:

  • Retreat at once and call law enforcement (correct)
  • Contact medical control for instructions
  • Be assertive and talk the patient down
  • Calm him down so you can assess him

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

  • Rate and depth of breathing (correct)
  • Rate of the patient's pulse
  • Presence of a medical identification tag
  • Patient's mental status

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

<p>Glucotrol (D)</p> Signup and view all the answers

For a confused 70-year-old male patient who is diaphoretic and tachycardic, initial management should include:

<p>Applying a nonrebreathing mask at 15 L/min (B)</p> Signup and view all the answers

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

<p>Supplemental insulin (D)</p> Signup and view all the answers

For a 29-year-old female presenting with confusion and respiratory distress, you should:

<p>Provide ventilatory support (B)</p> Signup and view all the answers

Hemoglobin is:

<p>Found within the red blood cells and is responsible for carrying oxygen (A)</p> Signup and view all the answers

Based on the clinical presentation of a 28-year-old female patient who has diabetes, you should suspect that she:

<p>Is significantly hyperglycemic (C)</p> Signup and view all the answers

The EMT should assess for hypoglycemia in small children with a severe illness or injury because:

<p>Children cannot store excess glucose as effectively as adults (D)</p> Signup and view all the answers

The normal blood glucose level is between:

<p>80 and 120 mg/dL (D)</p> Signup and view all the answers

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

<p>If he or she has had any recent illnesses or excessive stress (D)</p> Signup and view all the answers

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Study Notes

Thrombophilia and Risk Factors

  • Patients with thrombophilia are at an increased risk for pulmonary embolism.

Patient Behavior and Response

  • Confused male patient exhibiting aggressive behavior with a baseball bat requires immediate withdrawal and calling law enforcement for safety.

Diabetic Emergency Assessment

  • The primary visible difference between hyperglycemia and hypoglycemia in unresponsive diabetic patients is the rate and depth of breathing.

Medication Identification

  • Glipizide is also known as Glucotrol, used in managing diabetes.

Management of Diabetic Patients

  • Initial management for a confused, diaphoretic, tachycardic patient with diabetes includes applying a nonrebreathing mask at 15 L/min for oxygen support.

Diabetes Management Methods

  • Patients with type 2 diabetes typically control their condition with diet and exercise, medications like tolbutamide and glyburide, but they do not commonly use supplemental insulin.

Respiratory Support in Diabetic Emergencies

  • A female patient presenting with confusion, rapid shallow respirations, and low oxygen saturation should receive ventilatory support.

Hemoglobin Function

  • Hemoglobin, found within red blood cells, is essential for oxygen transport throughout the body.

Hyperglycemia Indicators

  • A patient recently diagnosed with type 1 diabetes exhibiting confusion and excessive urination over 24-36 hours likely indicates significant hyperglycemia.

Pediatric Hypoglycemia Assessment

  • Hypoglycemia assessment in small children during severe illness or injury is critical because children cannot store excess glucose as effectively as adults.

Normal Blood Glucose Levels

  • Normal blood glucose levels range between 80 and 120 mg/dL.

Importance of SAMPLE History

  • When obtaining a SAMPLE history from a diabetic patient, it is crucial to know if they have had any recent illnesses or excessive stress.
  • A young male patient with insulin and a syringe present should be closely monitored for potential insulin overdose or blood sugar complications.

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