Question

You are managing a patient who is a known diabetic. You attempt to obtain a blood glucose​ level, but the glucometer is failing to provide a reading after two attempts. From the clinical presentation of the​ patient, you are unsure if the underlying etiology is HHS or DKA. Given​ this, which of the following interventions should be avoided while transporting the patient to the​ hospital?

A. Administration of oxygen
B. Administration of 50 percent dextrose
C. Administration of a fluid bolus
D. Subcutaneous administration of regular insulin

Answer 1

When transporting a patient with unknown etiology of hyperglycemia, it is important to avoid administration of 50 percent dextrose, a fluid bolus, and subcutaneous regular insulin.

Step-by-step explanation:

When managing a patient with unknown etiology of hyperglycemia, it is important to avoid administering certain interventions while transporting the patient to the hospital. In this case, the interventions that should be avoided are:

1. Administration of 50 percent dextrose: This intervention should be avoided because it can exacerbate the underlying condition, leading to further complications.
2. Administration of a fluid bolus: This intervention should be avoided as it can worsen the patient's condition if the underlying etiology is HHS rather than DKA.
3. Subcutaneous administration of regular insulin: This intervention should be avoided because subcutaneous insulin may not be effective in rapidly lowering blood glucose levels in an acute situation.