Chapter 17: Endocrine and Hematologic Emergencies Flashcards Preview

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Flashcards in Chapter 17: Endocrine and Hematologic Emergencies Deck (23):
1

Assessment and intervention in a hematologic emergency should include all of the following except:
- pulse oximetry.
- supplemental oxygen.
- systemic examination.
- oral glucose.

- oral glucose.

2

Which of the following is not a potential complication of sickle cell disease?
- jaundice
- osteomyelitis
- hyperglycemia
- retinopathy

- hyperglycemia

3

_______ is a genetic disorder in which the body is not able to control bleeding by developing spontaneous clots as normal.

hemophilia

4

______ is a contraindication to the administration of oral glucose?

unconsciousness

5

Kussmaul respirations are:

deep/rapid breaths

6

Normal blood glucose level is 80 to 120 mg/dL. What level of glucose causes excess glucose to be excreted by the kidney?

200 mg/dL

7

Regarding characteristics of diabetic emergencies, the hypoglycemic patient's blood pressure will be:

normal to low

8

Regarding characteristics of diabetic emergencies, the skin condition of a patient with hyperglycemia will be:

warm and dry

9

Patients with altered mental status should be placed in a lateral recumbent position and you should make sure that

a suction is readily available

10

Diabetics often suffer from medical complications. Which of the following is not an expected complication?
- cardiovascular disease
- ulcers or infections of the feet and toes
- large or oversized arteries
- visual disturbances

- large or oversized arteries

11

An altered mental status may be caused by all of the following, except:
- intoxication.
- poisoning.
- vomiting.
- head injury.

- vomiting.

12

Managing problems related to diabetes and altered mental status poses very little risk to the EMT. You must do all the following, except:
- use gloves.
- wash your hands carefully.
- follow standard precautions.
- check mouth, tongue, and inside cheeks for any bleeding.

- check mouth, tongue, and inside cheeks for any bleeding.

13

For a conscious patient in insulin shock, protocols usually recommend:

oral glucose

14

If a diabetic patient has taken insulin but has not eaten, the problem is more likely to be:

insulin shock

15

___ diabetes is characterized by an absence of insulin production

type 1

16

what is the role of insulin

it allows glucose to enter the cells

17

if insulin is unavailable for glucose to enter cells what will the body use for fuel

fat

18

true or false: diabetic coma can be caused by too little glucose in the blood

false

19

physical findings associated with ______
kussmaul respirations, dehydration, sweet breath, thready pulse, normal or low BP, AMS

hyperglycemia

20

3 medical emergencies that may be mistaken for diabtetes

AMS, seizures, and alcohol intoxication

21

two main components of blood

cells and plasma

22

type of hemoglobin normal RBC contain

hemoglobin type a

23

primary intervention for patients suffering from hematologic crisis

supplemental oxygen via NRB at 12-15L/min