EMT Chapter 20 Endocrine and Hematologic Emergencies
Jeremiah
Terms in this set (27)
A 28-year-old female patient is found to be A. is significantly hyperglycemic.
responsive to verbal stimuli only. Her
roommate states that she was recently
diagnosed with type 1 diabetes and has had
difficulty controlling her blood sugar level.
She further tells you that the patient has
been urinating excessively and has
progressively worsened over the last 24 to
36 hours. On the basis of this patients clinical
presentation, you should suspect that she:
A. is significantly hyperglycemic.
B. has a urinary tract infection.
C. has overdosed on her insulin.
D. has a low BG level.
A 31-year-old male with a history of diabetes D. assist the PTs ventilations with a bag-valve mask.
had a seizure that stopped prior to EMS
arrival. He is unresponsive and has rapid
shallow breathing. His pulse is rapid weak,
and his skin is cyanotic. The EMT should:
A. administer oxygen by nasal cannula and
assess his BG level.
B. place a thin layer of oral glucose between
his cheek and gums.
C. position the PT on his side and give
oxygen via nonrebreathing mask.
D. assist the PTs ventilations with a bag-valve
mask.
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, 8/17/24, 7:46 AM
You respond to a residence for a PT who is D. retreat at once and call law enforcement.
"not acting right." As you approach the door,
the patient, a 35-year-old male, begins
shouting profanities at you and your partner
while holding a baseball bat. The man is
confused and diaphoretic, and is wearing a
medical identification bracelet. You should:
A. contact medical control for instructions.
B. calm him down so you can assess him.
C. be assertive and talk the PT down.
D. retreat at once and call law enforcement.
A 19-year-old male complains of "not feeling B. contact medical control and administer oral glucose.
right" His insulin and s syringe are on a
nearby table. The PT says he thinks he took
his insulin and cannot remember whether he
ate. He is also unable to tell you the time or
what day it is. The glucometer reads "error"
after several attempts to assess his BG level.
You should:
A. transport only with close, continuous
monitoring en route.
B. contact medical control and administer
oral glucose.
C. request a paramedic ambulance to
administer IV glucose.
D. assist him with his insulin injection and
reassess him.
A 42-year-old male is found unresponsive on B. suspect that he has intracranial bleeding, assist his ventilations, and transport rapidly
his couch by a neighbor. During your to an appropriate hospital.
assessment, you find no signs of trauma, and
the patients BG level is 75 mg/dL. His BP is
168/98 mm Hg, his HR is 45 beats/min and
bounding, and his respirations are 8
breaths/min and irregular. The patient is
wearing a medical alert bracelet that states
he has hemophilia. You should:
A. administer high-flow oxygen, perform a
detailed secondary assessment at the scene,
and transport promptly.
B. suspect that he has intracranial bleeding,
assist his ventilations, and transport rapidly
to an appropriate hospital.
C. administer oxygen via a NRBM, apply oral
glucose in between his cheek and gum, and
transport.
D. suspect that he has internal bleeding and
is in shock, administer high-flow oxygen, and
transport at once.
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