Medical Emergencies · single question

A conscious diabetic patient becomes hypoglycemic during treatment. The appropriate immediate management is to:

  1. Give oral carbohydrate (e.g., orange juice/glucose)
  2. Administer IM glucagon immediately
  3. Give IV dextrose immediately
  4. Withhold sugar and call 911 only
Show answer and explanation

Correct answer: A. Give oral carbohydrate (e.g., orange juice/glucose)

  • A. Correct. For a CONSCIOUS, cooperative patient, give ~15 g oral fast-acting carbohydrate (juice, glucose tablets) and recheck — the 'rule of 15'.
  • B. IM glucagon is reserved for UNCONSCIOUS patients who cannot swallow.
  • C. IV dextrose is for unconscious patients or when IV access is available and oral intake is unsafe.
  • D. Withholding carbohydrate from a treatable conscious hypoglycemic patient is inappropriate.

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