Management of Diabetic Patients with Oral Hypoglycemic Medications
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Questions and Answers

If a diabetic patient with a blood glucose level of 58 mg/dL is unable to swallow and follow commands, what is the appropriate next step?

  • Administer oral glucose (15g)
  • Administer Normal Saline up to 2L
  • Administer D10 100 ml IV/IO bolus
  • Administer Glucagon 1mg IM (correct)

What should be done if a diabetic patient's blood glucose remains less than 60 mg/dL after administering D10 100 ml IV/IO bolus?

  • Administer Glucagon 1mg IM
  • Administer another 100 ml of D10 IV/IO bolus (correct)
  • Administer Normal Saline up to 2L
  • Administer oral glucose (15g)

What are the symptoms indicative of Diabetic Ketoacidosis (DKA) in a diabetic patient with a blood glucose level greater than 300 mg/dL?

  • Nausea and vomiting only
  • Kussmaul Respirations and hypotension only
  • Abdominal pain and general weakness only
  • AMS, tachycardia, and acetone smell on breath (correct)

When should Glucagon be administered to a diabetic patient?

<p>If blood glucose is greater than 300 mg/dL with DKA symptoms (D)</p> Signup and view all the answers

In case a diabetic patient's blood glucose level is less than 60 mg/dL and they can swallow and follow commands, what should be given as treatment?

<p>Oral glucose (15g) (B)</p> Signup and view all the answers

Flashcards

Low Blood Glucose Treatment (Unable to Swallow)

Administer Glucagon 1mg IM.

Treatment for Persistent Low Blood Glucose (D10)

Administer another 100ml D10 IV/IO bolus if blood glucose remains low after initial dose.

DKA Symptoms

Altered mental status (AMS), rapid heartbeat (tachycardia), and acetone breath in a diabetic patient with high blood glucose.

Glucagon Administration Indication

Administer Glucagon when a diabetic patient has high blood sugar (over 300 mg/dL) and exhibits DKA symptoms, such as altered mental status.

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Oral Glucose Treatment (Conscious)

If a conscious diabetic patient has low blood sugar (under 60 mg/dL) and can swallow, give oral glucose (15g).

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