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You are assessing a 27-year old man with altered mental status. You notice a medical ID bracelet that confirms the patient is diabetic. A blood glucose check shows the patients level is 56 mg/dL. The patient is conscious and can maintain his own airway and swallow. What should your next action be?

User Ngatirauks
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Final answer:

Administer a fast-acting carbohydrate to a patient with hypoglycemia. Recheck blood glucose levels after 15 minutes and follow up with complex carbohydrates and protein. Ensure ongoing monitoring and provide diabetes management education.

Step-by-step explanation:

The patient's blood glucose level is 56 mg/dL, which suggests he is experiencing hypoglycemia, a condition characterized by lower-than-normal blood sugar levels. Given that the patient is conscious and able to swallow, the immediate course of action should be to administer some form of fast-acting carbohydrate. Examples of suitable treatments include glucose tablets, fruit juice, or a sugar-containing drink. This intervention is critical since hypoglycemia can lead to more severe symptoms if not corrected swiftly.

After giving a quick source of sugar, it's essential to reassess the patient's blood glucose levels within 15 minutes to ensure they have returned to a safer range (70 mg/dL to 130 mg/dL). If the initial treatment does not sufficiently raise blood sugar levels, another dose may be necessary. Once stabilized, it would be advisable to offer a more substantial food item containing complex carbohydrates and protein to sustain the blood glucose level.

Continuous monitoring and medical evaluation should be followed to determine the underlying cause of the hypoglycemic episode and to prevent future occurrences. Education on managing diabetes, recognizing early signs of hypoglycemia, and proper meal planning could also be beneficial for long-term management.

User Kernelman
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