Medical Emergencies · single question

About 5 minutes into an appointment a conscious diabetic patient becomes cold, clammy, shaky and anxious. The most appropriate immediate management is to give:

  1. Sublingual nitroglycerin
  2. Oral sucrose / orange juice
  3. Subcutaneous insulin
  4. Intravenous antibiotics
Show answer and explanation

Correct answer: B. Oral sucrose / orange juice

  • A. Nitroglycerin treats angina, not hypoglycemia.
  • B. Correct. Cold, clammy and shaky in a conscious diabetic indicates hypoglycemia; give a fast-acting oral carbohydrate.
  • C. Insulin would worsen hypoglycemia.
  • D. Antibiotics are irrelevant to this acute event.

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