EMT Chapter 19

Which of the following conditions is the diabetic patient at an increased risk of developing?
A 66-year-old woman experienced a sudden onset of difficulty breathing. She has a history of type 2 diabetes and deep vein thrombosis (DVT). On the basis of her medical history, which of the following should the EMT suspect?
Pulmonary embolism
The normal blood glucose level is between:
80 and 120 mg/dL
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The EMT should assess for hypoglycemia in small children with a severe illness or injury because:
children cannot store excess glucose as effectively as adults
A patient with an altered mental status; high blood glucose levels; and deep, rapid breathing may have a condition known as __________.
diabetic ketoacidosis
The main function of the endocrine system is to _________.
maintain homeostasis
Which of the following statements regarding glucose is correct?
The brain requires glucose as much as it requires oxygen
Excessive eating caused by cellular “hunger” is called:
Symptomatic hypoglycemia will MOST likely develop if a patient:
takes too much of his or her prescribed insulin
Classic signs and symptoms of hypoglycemia include:
cool, clammy skin; weakness; tachycardia; and rapid respirations
The two main types of cells contained in blood are called _________.
erythrocytes and leukocytes
You are treating a 40-year-old male with a documented blood sugar reading of 480 mg/dL. The patient is semiconscious and breathing shallowly, and is receiving assisted ventilation from your partner. You should recognize that definitive treatment for this patient includes:
A 75-year-old male with type 1 diabetes presents with chest pain and a general feeling of weakness. He tells you that he took his insulin today and ate a regular meal approximately 2 hours ago. You should treat this patient as though he is experiencing:
a heart attack
A patient with hypoglycemia will often present with which of the following signs/symptoms?
Pale, cool, and clammy skin
A man finds his 59-year-old wife unconscious on the couch. He states that she takes medications for type 2 diabetes. He further tells you that his wife has been ill recently and has not eaten for the past 24 hours. Your assessment reveals that the patient is unresponsive. You should:
open and maintain her airway and assess breathing
A 37-year-old female with a history of diabetes presents with excessive urination and weakness of 2 days’ duration. Her blood glucose level reads 320 mg/dL. If this patient’s condition is not promptly treated, she will MOST likely develop:
irreversible renal failure
Which of the following statements regarding sickle cell disease is correct?
In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen
Proper procedure for administering oral glucose to a patient includes all of the following, EXCEPT:
ensuring the absence of a gag reflex
During your assessment of a 19-year-old male, you are told that he is being treated with factor VIII. This indicates that:
he has hemophilia A
In contrast to type 1 diabetes, type 2 diabetes:
is caused by resistance to insulin at the cellular level

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