Medical Emergencies · single question
What should you NOT give to a patient with HYPOGLYCEMIA?
Show answer and explanation
Correct answer: D. Insulin
Insulin LOWERS blood glucose — administering insulin to a hypoglycemic patient would further reduce blood glucose and worsen the emergency, potentially causing severe hypoglycemia, seizures, brain damage, or death. Treatment for hypoglycemia: (1) Conscious: 15-20g fast-acting carbohydrates; (2) Unconscious: IV dextrose (D50W) or IM glucagon 1mg. NEVER give insulin to a hypoglycemic patient.
- A. Incorrect (SHOULD be given). Glucose is the primary treatment for hypoglycemia in conscious patients.
- B. CORRECT. Insulin MUST NOT be given — it further lowers blood glucose, worsening the emergency.
- C. Incorrect (CAN be given). Glucagon raises blood glucose and is used for unconscious hypoglycemic patients.
- D. Incorrect (IS appropriate). Supplemental oxygen supports the patient during any emergency.
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