Diabetic Emergencies

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| By Eroth

Eroth

Community Contributor

Quizzes Created: 9 | Total Attempts: 52,141

Questions: 15 | Attempts: 12,754 | Updated: Apr 21, 2023

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Test you wealth of knowledge on Diabetic Emergencies. 15 Questions

Questions and Answers

1.

Which of the following is a common sign or symptom of a patient experiencing a diabetic emergency?
- A.
  
  Slow pulse
- B.
  
  Pale, clammy skin
- C.
  
  Elevated blood pressure
- D.
  
  Decreased respiratory rate
Correct Answer
B. Pale, clammy skin

Explanation
Reason: Signs and symptoms of a diabetic emergency include pale, clammy skin, rapid pulse, normal or rapid respirations, and normal or slightly low blood pressure.

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2.

Altered mental status that often accompanies diabetic emergencies is often mistaken for:
- A.
  
  A migraine.
- B.
  
  Alcohol intoxication.
- C.
  
  A severed spinal cord
- D.
  
  A swollen or deformed lower extremity.
Correct Answer
B. Alcohol intoxication.

Explanation
Reason: The behavior of some diabetic patients with altered mental status has often been mistaken for alcohol or drug intoxication.

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3.

Diabetes is considered a disease of balance because the patient must try to balance:
- A.
  
  Food intake with glucose therapy.
- B.
  
  Medication with charcoal intake.
- C.
  
  Medication to stimulate the liver with fat intake.
- D.
  
  The need for glucose with the available insulin supply.
Correct Answer
D. The need for glucose with the available insulin supply.

Explanation
Reason: Diabetes is a disease of balance because the patient must balance the need for glucose with his or her available insulin supply.

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4.

Which of the following conditions can occur if an unconscious patient is given oral glucose?
- A.
  
  Shock
- B.
  
  Aspiration
- C.
  
  Hypotension
- D.
  
  Hyperglycemia
Correct Answer
B. Aspiration

Explanation
Reason: When oral glucose is properly given, placing it between the cheek and gum of a conscious patient who is able to swallow and protect the airway, there are no side effects. However, if given to a patient who in unconscious or unable to swallow, aspiration can occur.

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5.

Diabetes is caused by the body's lack of adequate amounts of:
- A.
  
  Sugar.
- B.
  
  Insulin.
- C.
  
  Glucose.
- D.
  
  Aspartame.
Correct Answer
B. Insulin.

Explanation
Reason: Diabetes is caused by lack of adequate amounts of insulin.

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6.

The form of diabetes that develops as a person ages is called:
- A.
  
  Type I diabetes.
- B.
  
  Type II diabetes.
- C.
  
  Type III diabetes.
- D.
  
  Adult sugar disorder.
Correct Answer
B. Type II diabetes.

Explanation
Reason: The form of diabetes that develops as a person ages is called type II diabetes.

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7.

Which of the following will probably NOT cause a diabetic emergency in a patient with a history of diabetes controlled by medication?
- A.
  
  Eating a regularly scheduled meal
- B.
  
  Unusual exercise or fatigue
- C.
  
  Overeating
- D.
  
  Infection
Correct Answer
A. Eating a regularly scheduled meal

Explanation
Reason: Changes in the level of consciousness in a patient who has diabetes, but who controls it with medication, can occur from unusual exercise, fatigue, overeating without increasing the insulin dose, infection, illness, or alcohol.

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8.

Oral glucose should be placed:
- A.
  
  On the tongue of a conscious patient.
- B.
  
  On the tongue of an unconscious patient.
- C.
  
  Between the cheek and gum of a conscious patient.
- D.
  
  Between the cheek and gum of an unconscious patient.
Correct Answer
C. Between the cheek and gum of a conscious patient.

Explanation
Reason: Oral glucose should be placed between the cheek and the gum of a patient who can swallow. It should not be given to an unconscious patient.

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9.

The term "polyuria" can be defined as frequent:
- A.
  
  Seizure activity.
- B.
  
  Bouts of depression.
- C.
  
  Large-volume urination
- D.
  
  Drinking to satisfy continuous thirst.
Correct Answer
C. Large-volume urination

Explanation
Reason: Polyuria is frequent, large volume urination, a classic symptom of diabetes.

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10.

What waste products are formed when fat is used for energy?
- A.
  
  Pancreatic acids
- B.
  
  Glucose and carbon dioxide
- C.
  
  Glucose and fatty acids
- D.
  
  Ketones and fatty acids
Correct Answer
D. Ketones and fatty acids

Explanation
Ketones and fatty acids are formed as waste products when fat is used for energy

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11.

When do you draw blood for the hospital? Before you adminster D50 or after?
- A.
  
  Before
- B.
  
  After
Correct Answer
A. Before

Explanation
Drawing blood for the hospital is done before administering D50. This is because drawing blood is typically done to collect samples for various tests and analysis, such as checking blood glucose levels. Administering D50, on the other hand, involves giving a concentrated solution of dextrose to quickly raise blood sugar levels in emergency situations, such as hypoglycemia. Therefore, drawing blood is a necessary step to gather information about the patient's current blood status before deciding whether D50 administration is needed.

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12.

Per Protocol, At what Blood Glucose Level can we adminster D50
- A.
  
  Less than 50
- B.
  
  Less than 60
- C.
  
  Less than 70
- D.
  
  Less than 80
Correct Answer
B. Less than 60

Explanation
D50, also known as dextrose 50%, is a solution used to treat low blood sugar levels (hypoglycemia). It contains 50% dextrose, a type of sugar that quickly raises blood glucose levels. The correct answer is "Less than 60" because D50 should be administered when blood glucose levels are below this threshold. This ensures that the patient's blood sugar is promptly increased to a safe level.

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13.

At what Blood Glucose Level for Pediatric Patients?
- A.
  
  More than 40 if clinically indicated
- B.
  
  Less than 40 if clinically indicated
- C.
  
  Same as adult
Correct Answer
B. Less than 40 if clinically indicated

Explanation
Pediatric patients should have a blood glucose level of less than 40 if clinically indicated. This means that if there are specific clinical indications or reasons, such as symptoms or conditions, that suggest a need for it, the blood glucose level should be below 40. This is likely because a blood glucose level below 40 in pediatric patients may indicate hypoglycemia, which can be a serious medical condition requiring immediate attention and treatment.

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14.

Dextrose should be diluted 1:1 with normal saline (to create D25W) for patient 8 years and younger
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Dextrose should be diluted 1:1 with normal saline for patients 8 years and younger to create D25W. This is because younger patients have a higher risk of developing hyperglycemia if dextrose is administered undiluted. Diluting dextrose with normal saline helps to prevent this complication and ensures a safer administration of the medication.

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15.

What is the dose for an adult?
- A.
  
  20 gm
- B.
  
  25 gm
- C.
  
  50 gm
- D.
  
  100 gm
Correct Answer
B. 25 gm

Explanation
The correct answer is 25 gm. This suggests that the recommended dose for an adult is 25 gm.

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Current Version
Apr 21, 2023

Quiz Edited by
ProProfs Editorial Team
May 12, 2009

Quiz Created by
Eroth

Diabetic Emergencies

Which of the following is a common sign or symptom of a patient experiencing a diabetic emergency?

Altered mental status that often accompanies diabetic emergencies is often mistaken for:

Diabetes is considered a disease of balance because the patient must try to balance:

Which of the following conditions can occur if an unconscious patient is given oral glucose?

Diabetes is caused by the body's lack of adequate amounts of:

The form of diabetes that develops as a person ages is called:

Which of the following will probably NOT cause a diabetic emergency in a patient with a history of diabetes controlled by medication?

Oral glucose should be placed:

The term "polyuria" can be defined as frequent:

What waste products are formed when fat is used for energy?

When do you draw blood for the hospital? Before you adminster D50 or after?

Per Protocol, At what Blood Glucose Level can we adminster D50

At what Blood Glucose Level for Pediatric Patients?

Dextrose should be diluted 1:1 with normal saline (to create D25W) for patient 8 years and younger

What is the dose for an adult?