Professional Documents
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Patients whose blood glucose levels become too high will begin to use
which of the following substances for energy?
A: Fat
B: Acid
C: Sugar
D: Acetone
B: Patients with diabetes are all generally treated the same way.
B: type II diabetes.
B: metabolism.
C: blood count.
D: endurance levels.
B: bouts of depression.
C: large-volume urination.
12. When glucose does not reach the cells for metabolism, the cells turn
to another source of energy, primarily fat. Fat metabolism results in:
A: the production of strong alkaline particles.
13. You are summoned to the local jail to care for a patient who is "drunk."
When you arrive, the police officer advises you that the patient was
picked up for being intoxicated in public, and shortly after arriving at
the jail, the patient's level of consciousness diminished rapidly. Upon
assessment, the patient is found to be comatose with cool, clammy
skin. His heart rate is weak and thready, and his respirations are rapid
and shallow. You should suspect and manage this patient for:
A: acute alcohol intoxication.
B: diabetic ketoacidosis.
D: insulin shock.
14. A woman calls EMS because her 12-year-old son, who had been
experiencing excessive urination, thirst, and hunger for the past 36
hours, is now semiconscious with a rapid, weak, and thready pulse.
Which of the following do you suspect?
A: Diabetic shock
B: Insulin shock
C: Diabetic coma
D: Hypoglycemia
16. The first step in caring for a patient who is experiencing a decreased
level of consciousness from a diabetic emergency is to:
A: make sure the airway is open.
17. When obtaining a history from a diabetic patient, you should ask which
of the following questions in addition to the SAMPLE history?
A: "Are you allergic to insulin?"
B: s metabolic disorder.
C: an essential hormone.
D: a fight-or-flight hormone.
ANSWERS:
NO ANS REASON
Reason: Patients with blood glucose levels that are too high will use fat
for energy. Waste products from fat increase the amount of acid in the
1. A
blood and tissue, and cells eventually will not work properly and may
shut down. (ECTSI 8, pp. 405 - 406)
Reason: Patients with diabetes are treated in different ways. Some oral
2. B medication, some take insulin, and some control the disease with diet
alone. (ECTSI 8, pp. 409 - 410)
Reason: The combination that will produce the quickest onset of altered
mental status is skipping a meal and taking insulin. The patient will use
3. C up all available glucose in the bloodstream and become hypoglycemic.
If the glucose level remains low, the patient may lose consciousness,
have permanent brain damage, or die. (ECTSI 8, p. 405)
Reason: When glucose does not reach the cells, where it is normally
converted to energy by metabolism, the cells turn to another source of
12. C
fuel, primarily fat. Fat metabolism produces ketones and fatty acids,
leading to ketoacidosis. (ECTSI 8, p. 406)
Reason: Patients with insulin shock are often mistaken for being
intoxicated with alcohol due to their bizarre behavior. Signs and
13. D symptoms of insulin shock include an altered mental status ranging from
confusion to aggressive behavior, normal or rapid respirations, pale and
clammy skin, diaphoresis, rapid pulse, and seizures. (ECTSI 8, p. 408)
Reason:
Glucose is
a basic
sugar that
is essential
19. for cell
metabolism
in humans.
(ECTSI 8,
pp. 405 -
406)