Glipizide, a non-insulin-type medication, is another name for:
Which of the following statements regarding sickle cell disease is correct?
In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen.
Patients with type 2 diabetes usually control their disease with all of the following, EXCEPT:
Patients with uncontrolled diabetes experience polyuria because:
excess glucose in the blood is excreted by the kidneys.
Excessive eating caused by cellular "hunger" is called:
Classic signs and symptoms of hypoglycemia include:
cool, clammy skin; weakness; tachycardia; and rapid respirations.
Kussmaul respirations are an indication that the body is:
attempting to eliminate acids from the blood.
Common signs and symptoms of diabetic coma include all of the following, EXCEPT:
cool, clammy skin.
An acute accelerated drop in the hemoglobin level, which is caused by red blood cells breaking down at a faster rate than normal, occurs during a(n) __________ crisis.
A 28-year-old female patient is found to be responsive to verbal stimuli only. Her roommate states that she was recently diagnosed with type 1 diabetes and has had difficulty controlling her blood sugar level. She further tells you that the patient has been urinating excessively and has progressively worsened over the last 24 to 36 hours. On the basis of this patient's clinical presentation, you should suspect that she:
is significantly hyperglycemic.
Insulin shock will MOST likely develop if a patient:
takes too much of his or her prescribed insulin.
Which of the following statements regarding diabetic coma is correct?
Diabetic coma typically develops over a period of hours or days.
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:
a heart attack.
The signs and symptoms of insulin shock are the result of:
decreased blood glucose levels.
Assessment of a patient with hypoglycemia will MOST likely reveal:
Patients with thrombophilia are at an increased risk for:
Proper procedure for administering oral glucose to a patient includes all of the following, EXCEPT:
ensuring the absence of a gag reflex.
A man finds his 59-year-old wife unconscious on the couch. He states that she takes medications for type 2 diabetes. He further tells you that his wife has been ill recently and has not eaten for the past 24 hours. Your assessment reveals that the patient is unresponsive. You should:
open and maintain her airway and assess breathing.
Diabetes is MOST accurately defined as a(n):
disorder of carbohydrate metabolism.
A 19-year-old male complains of "not feeling right." His insulin and a syringe are on a nearby table. The patient says he thinks he took his insulin and cannot remember whether he ate. He is also unable to tell you the time or what day it is. The glucometer reads "error" after several attempts to assess his blood glucose level. In addition to administering oxygen, you should:
contact medical control and administer oral glucose.
You are treating a 40-year-old male with a documented blood sugar reading of 300 mg/dL. The patient is semiconscious and breathing shallowly, and is receiving assisted ventilation from your partner. You should recognize that definitive treatment for this patient includes:
Insulin functions in the body by:
enabling glucose to enter the cells.
Glutose is a trade name for:
A 29-year-old female presents with confusion and disorientation. Her respirations are rapid and shallow and her pulse is 120 beats/min and thready. She is markedly diaphoretic and has an oxygen saturation of 89%. You should:
provide ventilatory support.
A 42-year-old male is found unresponsive on his couch by a neighbor. During your assessment, you find no signs of trauma and the patient's blood glucose level is 75 mg/dL. His blood pressure is 168/98 mm Hg, his heart rate is 45 beats/min and bounding, and his respirations are 8 breaths/min and irregular. The patient is wearing a medical alert bracelet that states he has hemophilia. You should:
suspect that he has intracranial bleeding, assist his ventilations, and transport rapidly to an appropriate hospital.
Which of the following conditions is the diabetic patient at an increased risk of developing?
A 30-year-old female presents with severe acute pain to the left upper quadrant of her abdomen. During your assessment, she tells you that she has sickle cell disease. You should suspect that:
her spleen is enlarged because of red blood cell engorgement.
The normal blood glucose level, as measured by a glucometer, is between:
80 and 120 mg/dL.
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.
Diabetic coma is a life-threatening condition that results from:
hyperglycemia, ketoacidosis, and dehydration.
When assessing an unconscious diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the:
rate and depth of breathing.
During your assessment of a 19-year-old male, you are told that he is being treated with factor VIII. This indicates that:
he has hemophilia A.
Hypoglycemic crisis tends to develop more often and more severely in children because:
they do not always eat correctly and on schedule.
In contrast to insulin shock, diabetic coma:
can only be corrected in the hospital setting.
To which of the following diabetic patients should you administer oral glucose?
a confused 55-year-old male with tachycardia and pallor
If a diabetic patient has taken insulin but has not eaten, the problem is more likely to be:
For a conscious patient in insulin shock, protocols usually recommend:
Managing problems related to diabetes and altered mental status poses very little risk to the EMT. You must do all the following, except:
check mouth, tongue, and inside cheeks for any bleeding
An altered mental status may be caused by all of the following, except:
Diabetics often suffer from medical complications. Which of the following is not an expected complication?
large or oversized arteries
Patients with altered mental status should be placed in a lateral recumbent position and you should
place them in the recovery position
Regarding characteristics of diabetic emergencies, the skin condition of a patient with hyperglycemia will be
warm and dry
Regarding characteristics of diabetic emergencies, the hypoglycemic patient's blood pressure will be:
normal to low
Normal blood glucose level is 80 to 120 mg/dL. What level of glucose causes excess glucose to be excreted by the kidney?
Kussmaul respirations are:
deep, rapid breaths
Which of the following is a contraindication to the administration of oral glucose?
________ is a genetic disorder in which the body is not able to control bleeding by developing spontaneous clots as normal.
Which of the following is not a potential complication of sickle cell disease?
Assessment and intervention in a hematologic emergency should include all of the following except: