EMS EMT_REF Medical Emergencies Part 2

EMS EMT_REF Medical Emergencies Part 2 - Diabetic...

Info iconThis preview shows pages 1–4. Sign up to view the full content.

View Full Document Right Arrow Icon
Diabetic Emergencies,Altered Mental Status, and Allergies Key Term: DIABETES The condition brought about by decreased insulin production, which prevents the body’s cells from taking the simple sugar called glucose from the bloodstream. Insulin allows sugar to pass from the bloodstream into the cells. Diabetes is treated with injections of insulin or oral medications Key Term: Hyperglycemia (Diabetic Coma) Condition where blood insulin levels are low and blood sugar levels are high. Leading to a metabolic imbalance. Signs & Symptoms Slow onset (over a period of days) Dry warm skin Kussmalls respirations (Rapid deep sighing) Acetone breath (sweet fruity smell) Treatment is the same as for hypoglycemia Key Term: HYPOGLYCEMIA (Insulin Shock) Hypoglycemia (low blood sugar) is a life-threatening emergency for people with diabetes. But it is one that the EMT-B can treat. Key Term: Insulin Shock Elevated level of Insulin low, level of sugar Hypoglycemia Signs & Symptoms Rapid onset (just minutes) AMS Wet Skin (resembles S&S of Shock) When does it occur: #After taking insulin and missing a meal # After taking insulin and vomiting # After unusual amount of exercise # For unknown reason 1
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
+Intoxicated appearance, staggering, slurred speech, unconsciousness + Cold, clammy skin + Rapid heart rate + Hunger + Seizures (in severe cases) + Insulin or oral anti diabetic medication Diabetic Emergencies Signs & Symptoms =Unusual behavior = Anxiety = Refusal to cooperate or combativeness Remember: no patient should ever be assumed to be intoxicated until proven by Hospital blood test. Patient Assessment - Diabetic Emergencies Perform initial assessment. Perform focused history and get SAMPLE history. Take baseline vital signs (Some hypoglycemic patients are unconscious. You must make sure the airway remains patent in these individuals.) Perform focused history physical exam. How did episode occur? When did it start? How long did it last? Complaints of other symptoms? Trauma involved? Has the patient seized? Fever? Interruptions in episode? Get a SAMPLE history. When did patient last eat? What medications? When last taken? Any other illnesses? Can the patient swallow? 2
Background image of page 2
Take baseline vital signs. N.Y. STATE BLS PROTOCOL : Give oral glucose if all of these conditions met: #History of diabetes # Altered mental status # Patient can swallow Indications: Altered mental status with history of diabetes Contraindications: # Unconsciousness # Inability to swallow Actions: Increases blood sugar Side Effects: None when given properly May be aspirated if given to patient without gag reflex If patient seizes or loses consciousness, remove tongue depressor; secure airway. Reassess patient.
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 4
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 23

EMS EMT_REF Medical Emergencies Part 2 - Diabetic...

This preview shows document pages 1 - 4. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online