Ch 17 Question Flashcards
Normal blood glucose levels range from_________ mg/dL.
80 to 120
Patients with which type of diabetes are more likely to have metabolic problems and organ damage?
Type 1
A Sickle cell crisis caused by an acute drop in hemoglobin levels is known as a(n):
hemolytic crisis
Diabetes is a metabolic disorder in which the hormone___________ is missing or ineffective.
Insulin
Emergency care of a patient with hemophilia includes all of the following EXCEPT:
A. Rapid transport
B. Bleeding control
C. Oxygen at 4 L/min
D. Ventilations, if needed
Oxygen at 4 L/min
The accumulation of ketones and fatty acids in blood tissue can lead to a dangerous condition in diabetic patients known as:
Diabetic ketoacidosis
The term for excessive eating as a result of cellular “hunger” is:
Polyphagia
Insulin is produced by the:
Pancreas
Factors that may contribute to diabetic coma include:
Infection
Alcohol consumption
Insufficient insulin
The only organ that does not require insulin to allow glucose to enter it’s cells is the:
Brain
The sweet or fruity odor on the breath of a diabetic patient is caused by_________ on the blood.
Ketones
It is uncommon to encounter__________ patients with thrombophilia.
Pediatric
Oral diabetic medications include:
Micronase
Glucotrol
Diabinese
_________ is one of the basic sugars in the body.
Dextrose
_______ is the hormone that is normally produced by the pancreas that enables glucose to enter the cells.
Insulin
The term of excessive urination is;
Polyuria
When fat is used as an immediate energy source,_________ and fatty acids are formed as waste products.
Ketones
An African American patient complaining of severe, generalized pain may have undiagnosed:
Sickle cell disease
The onset of hypoglycemia can occur within:
Minutes
Without_________, or with very low levels, brain cells rapidly suffer permanent damage.
Glucose
___________ is/are a potentially life-threatening complication of insulin shock.
Seizures
Blood glucose levels are measured in:
Milligrams per deciliter
Diabetic coma may develop as a result of:
Too little insulin
Always suspect hypoglycemia in any patient with:
Altered mental status
The most important step in caring for unresponsive diabetic patient is to:
Open the airway
Determination of diabetic coma or insulin shock should:
Be based upon your knowledge of the signs and symptoms of each condition
When obtaining the medical history of a patient experiencing a Sickle cell crisis, you should:
Ask the patient if he has compliant with his medications
Contraindications for the use of oral glucose include:
Unconsciousness
When reassessing the diabetic patient after administration of oral glucose, watch for:
Airway problems
Seizures
Sudden loss of consciousness
Signs and symptoms associated with hypoglycemia include:
Anxious or combative behavior
The patient in insulin shock is experiencing:
Hypoglycemia
Signs of dehydration include:
Sunken eyes
Hospital interventions for hemophilia may include:
Blood transfusions
Analgesics for pain
Intravenous (IV) therapy
Causes of insulin shock include:
Taking too much insulin
Vigorous exercise without sufficient glucose intake
Nausea, vomiting, and anorexia
Insulin shock can develop more often and more severely in children than in adults due to their:
High activity level and failure to maintain a strict schedule of eating
Because diabetic coma is a complex metabolic condition that usually develops over time and involves all the tissues of the body, correcting this condition may:
Take hours in a hospital setting
A patient in insulin shock or a diabetic coma may appear to be:
Intoxicated
