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100

What is the most common cause of hypoglycemia in diabetes?

What is taking too much insulin or skipping meals? 

100

DKA most commonly occurs in patients with this type of diabetes

What is type 1 Diabetes?

100

This injectable hormone is used in the field to treat hypoglycemia.  Drug and Dose

What is Glucagon? 1 mg

100

The best initial test for an altered patient in the field is

What is a blood glucose check?

100

Pediatric hypoglycemia can present with these rather then confusion

What are seizures?

200

Classic triad of hypoglycemia symptoms: 

What is confusion, sweating and tremors?

200

Classic fruity odor on the breath of a DKA patient is due to this

What is Acetone ( A ketone body)?

200

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

200

Patients with a long-standing diabetes may have silent

What is a silent MI?

200

This electrolyte imbalance often accompanies DKA

What is hyperkalemia (or total body potassium depletion)

300

Preferred prehospital treatment for a conscious hypoglycemic patient

What is oral glucose?

300

A typical Kussmaul breathing pattern in DKA is described this way

What is deep and rapid breathing?

300

What kind of solution is Dextrose

What is Hypertonic?

300

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?

300

Which oral diabetic medication is most associated with lactic acidosis

What is Metformin?

400

Typical blood glucose level defining hypoglycemia in adults 

What is < 70 mg/dl

400

Serum pH change seen in diabetic ketoacidosis

What is metabolic acidosis (Low pH)?

400

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. 

400

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.?

400

Which type of diabetes is most commonly associated with DKA?

What is Type 1?

500

A common beta blocker effect that can mask this important hypoglycemia sign

What is Tachycardia?

500

A life threatening complication of hyperglycemia more common in type 2 diabetics

What is Hyperosmolar Hyperglycemic State or Hyperosmolar Hyperglycemic Nonketotic Coma?

500

This drug should not be given if hypoglycemia is due to alcoholism or malnutrition because it relies on hepatic glycogen stores

What is Glucagon?

500

Condition in which blood sugar rapidly fluctuates between high and low, often at night.

What is the Somogyi effect?

500

List two reasons why Glucagon might be ineffective in the field

What is no glycogen stores (Liver Disease, malnutrition< Hypoglycemia due to alcoholism