A patient who is awake has sweating, tremors and a blood glucose level of Fifty-two mg/dL (2.9 mmol/L). What is the priority nursing action?
Correct answer: A. Give 15 grams of fast-acting carbohydrate
- A. Give 15 grams of fast-acting carbohydrate
- B. Administer the scheduled dose of insulin
- C. Encourage the patient to walk for ten minutes
- D. Give a high-fat meal and recheck tomorrow
Explanation
The symptoms and glucose level indicate conscious hypoglycaemia, so fast-acting carbohydrate is given first. Walking and insulin would lower glucose further, while a high-fat meal is absorbed too slowly for immediate treatment.
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About Endocrine and Diabetes Drugs
Endocrine pharmacology includes insulin preparations, oral antidiabetic drugs, thyroid and antithyroid medicines, corticosteroids, sex hormones and drugs affecting calcium balance. Questions address onset and duration, administration, monitoring, hypoglycaemia, steroid adverse effects and the difference between replacing a deficient hormone and suppressing excessive hormone activity.
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