A conscious patient with diabetes is sweating, confused and unable to swallow safely. Which treatment is most appropriate initially?
Correct answer: A. Give intravenous glucose according to protocol
- A. Give intravenous glucose according to protocol
- B. Give a subcutaneous dose of long-acting insulin
- C. Give oral glucose despite the swallowing problem
- D. Give intravenous furosemide
Explanation
A patient who cannot swallow safely needs rapid intravenous glucose, with the amount guided by local protocol and subsequent blood glucose checks. Oral glucose risks aspiration, while insulin would worsen hypoglycaemia.
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About Emergency Drugs and Antidotes
Emergency pharmacology covers drugs used in cardiac arrest, shock, severe allergy, acute asthma, seizures, poisoning and hypoglycaemia, including adrenaline, atropine, naloxone, flumazenil and selected antidotes. The focus is on indications, routes, rapid adverse effects, dose safety and matching a toxic substance with its specific reversal agent.
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