Question 33 (part 2) · LEK · Emergencies and acute complications

A 24-year-old male patient suffering from diabetes type I and treated with insulin (4 injections per day) suddenly loses consciousness. The patient breathes normally and his pulse is 120bpm. What is the best course of action in this case?

  1. A. administer intravenous infusion of 5% glucose immediately.
  2. B. administer intravenous infusion of 20% glucose immediately.
  3. C. immediately administer insulin subcutaneously.
  4. D. immediately administer insulin intravenously.
  5. E. determine glucose levels and decide whether to administer glucose or insulin intravenously based on the results.
Hint

Sudden onset, normal breathing and tachycardia in an insulin-treated patient: which complication develops within minutes rather than days?

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