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WorksheetsDiabetic Emergencies part 2
Total questions: 10
Worksheet time: 5mins
A 75-year-old male with type 1 diabetes presents with chest pain and a general feeling of weakness. He tells you that he took his insulin today and ate a regular meal approximately 2 hours ago. You should treat this patient as though he is experiencing:
an acute stroke
a heart attack
hyperglycemia
hypoglycemia
A patient with an altered mental status; high blood glucose levels; and deep, rapid breathing may have a condition known as _______________.
hypoglycemic crisis
diabetic ketoacidosis
hyperosmolar hyperglycemic nonketotic coma
hyperglycemic crisis
A patient with hypoglycemia will often present with which of the following signs/symptoms?
Deep, rapid respirations
Hypertension
Pale, cool, and clammy skin
Warm, red, and dry skin
Common signs and symptoms of severe hyperglycemia include all of the following, EXCEPT:
cool, clammy skin
acetone breath odor
warm, dry skin
rapid, thready pulse
Kussmaul respirations are an indication that the body is:
compensating for decreased blood glucose levels
attempting to eliminate acids from the blood
trying to eliminate acids from the blood
severely hypoxic and is eliminating excess CO2
To which of the following diabetic patients should you administer oral glucose?
An unconscious 33-year-old male with cool, clammy skin
A confused 55-year-old male with tachycardia and pallor
A semiconscious 40-year-old female without a gag reflex
A conscious 37-year-old female with nausea and vomiting
When assessing an unresponsive diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the:
patient's mental status
rate and depth of breathing
presence of a medical identification tag
rate of the patient's pulse
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
approximately how much water the patient drank that day
the name of the physician who prescribed his or her insulin
if there is a family history of diabetes or related conditions
Which of the following signs or symptoms would the EMT MOST likely encounter in a patient with new-onset type 1 diabetes?
Low blood glucose level
Weight loss and polyuria
Weight gain and edema
Total lack of appetite
You respond to a residence for a patient who is “not acting right.” As you approach the door, the patient, a 35-year-old male, begins shouting profanities at you and your partner while holding a baseball bat. The man is confused and diaphoretic, and is wearing a medical identification bracelet. You should:
calm him down so you can assess him
retreat at once and call law enforcement
be assertive and talk the patient down
contact medical control for instructions
