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Your patient is a 24-year-old male with a history of type I diabetes. You were called to his place ...

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Your patient is a 24-year-old male with a history of type I diabetes. You were called to his place ...

Your patient is a 24-year-old male with a history of type I diabetes. You were called to his place of employment because he was behaving bizarrely. On your arrival he is confused and combative with a blood glucose level of 41 mg/dL. Due to poor vasculature and the patient's combativeness, you have not been able to start an IV. Which of the following is the best course of action?
A) Administer 1 mg glucagon, IM.
B) Administer 5 mg Valium, IM, and attempt the IV again when the patient is less agitated.
C) Administer half an amp (12.5 g) of 50 percent dextrose, IM.
D) Use four-point restraints to restrain the patient and transport. Attempt the IV again if the patient becomes unresponsive.

Textbook

Paramedic Care: Principles & Practice, Volume 3

Edition: 5^th

Authors: Bledsoe, Porter, Cherry

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S.Andy

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