What is the most common cause of hypoglycemia in diabetes?
What is taking too much insulin or skipping meals?
DKA most commonly occurs in patients with this type of diabetes
What is type 1 Diabetes?
This injectable hormone is used in the field to treat hypoglycemia. Drug and Dose
What is Glucagon? 1 mg
The best initial test for an altered patient in the field is
What is a blood glucose check?
Pediatric hypoglycemia can present with these rather then confusion
What are seizures?
Classic triad of hypoglycemia symptoms:
What is confusion, sweating and tremors?
Classic fruity odor on the breath of a DKA patient is due to this
What is Acetone ( A ketone body)?
What is the concentration of an amp of D50
What is a concentration of 50% Dextrose in water. 100 ml of solution, there are 50 grams of dextrose
Patients with a long-standing diabetes may have silent
What is a silent MI?
This electrolyte imbalance often accompanies DKA
What is hyperkalemia (or total body potassium depletion)
Preferred prehospital treatment for a conscious hypoglycemic patient
What is oral glucose?
A typical Kussmaul breathing pattern in DKA is described this way
What is deep and rapid breathing?
What kind of solution is Dextrose
What is Hypertonic?
Your patient is unresponsive with a blood glucose of 28. Vitals: BP of 150/88. Resp of 14. Pulse of 121 and Sats are 88% What is your first treatment for this patient
What is oxygen?
Which oral diabetic medication is most associated with lactic acidosis
What is Metformin?
Typical blood glucose level defining hypoglycemia in adults
What is < 70 mg/dl
Serum pH change seen in diabetic ketoacidosis
What is metabolic acidosis (Low pH)?
How much insulin should you administer a patient with a blood sugar of 250
What is None? Each patient has a specific care plan for insulin. Consult with medical direction before considering administering a patients insulin.
Your patient has received an amp of D50 and is now responsive. New BG is 280. Your next step in the treatment for the patient should be
What is eating protein and complex carbohydrates.?
Which type of diabetes is most commonly associated with DKA?
What is Type 1?
A common beta blocker effect that can mask this important hypoglycemia sign
What is Tachycardia?
A life threatening complication of hyperglycemia more common in type 2 diabetics
What is Hyperosmolar Hyperglycemic State or Hyperosmolar Hyperglycemic Nonketotic Coma?
This drug should not be given if hypoglycemia is due to alcoholism or malnutrition because it relies on hepatic glycogen stores
What is Glucagon?
Condition in which blood sugar rapidly fluctuates between high and low, often at night.
What is the Somogyi effect?
List two reasons why Glucagon might be ineffective in the field
What is no glycogen stores (Liver Disease, malnutrition< Hypoglycemia due to alcoholism