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Diabetes/Seizures
Altered mental status terms: includes diabetes, seizure, stroke
| Question | Answer |
|---|---|
| form of sugar that provides the body's basic source of energy | glucose |
| condition brought about by decreased insulin production; called sugar diabetes or diabetes | diabetes mellitus |
| hormone produced by the pancreas or taken as a medication by many diabetics, aids cells in utilizing glucose | insulin |
| uncontrolled muscular movements | convulsions |
| prolonged seizure, or when a person suffers two or more convulsive seizures without regaining full consciousness | status epilepticus |
| low blood sugar | hypoglycemia |
| medical condition that sometimes causes seizures | epilepsy |
| high blood sugar | hyperglycemia |
| sudden change in sensation, behavior, or movement that can, in its most severe form, produce convulsions | seizure |
| blockage or bursting of a major blood vessel supplying the brain; also called a CVA- cerebrovascular accident | stroke |
| The relationship between glucose and insulin is described as | a lock and key mechanism |
| The most common medical emergency for a diabetic patient is ____. This can happen when a diabetic overexercises. | hypoglycemia |
| If sugar is not replenished quickly, the patient may have | permanent brain damage |
| These are clues that a patient is diabetic: | medical identification bracelet, insulin in the refrigerator, information from family members |
| These are common oral medications used to treat diabetes: | Humulin, Glucotrol, Micronase |
| A patient with a diabetic emergency may appear to be | intoxicated or combative |
| A patient with a diabetic emergency may show these signs or symptoms: | cold clammy skin, anxiety |
| In order for the EMT to consider administering oral glucose, the patient must have an altered mental status and a | history of diabetes and be awake enough to swallow |
| If you are reassessing a patient to whom you have given oral glucose and their condition has not improved, you should | consult medical direction before administering more glucose. |
| Position used to transfer diabetic patient who is not awake enough to swallow and does not need ventilation | recovery |
| Children with diabetes are more at risk than adults for developing | hypoglycemia |
| This sign indicates a change in the patient's blood sugar level | change in mental status |
| Before and after administering oral glucose, make sure to | document the mental status of the patient |
| Trade name for oral glucose | Insta-glucose |
| A patient is confused and disoriented. Before deciding they have a behavioral problem, the EMT should consider- | possibility of head injury, brain tumor, hypoxia |
| People with diabetes test the level of sugar in their blood by using a | glucose meter |
| Complications of diabetes include: | kidney failure, heart disease, blindness |
| Glucose meters show a reading in | milligrams of glucose per deciliter of blood |
| If the diabetic is symptomatic and has a sugar level below 80, they are considered | hypoglycemic |
| If the diabetic is symptomatic and has a sugar level above 120, they are considered | hyperglycemic |
| The most common cause of seizures in adults is | not taking antiseizure medication |
| Seizures are commonly caused by | high fever, brain tumor, infection |
| Characteristics of idiopathic seizures | occurs spontaneously, unknown cause, starts in childhood |
| This type of seizure is seen with epilepsy of hypoglycemia | convulsive seizure |
| Best known condition that results in seizures is | epilepsy |
| This type of seizure is associated with epilepsy | generalized tonic-clonic |
| Questions about a seizure patient, ask these to bystanders | How long did the seizure last? What did the patient do after the seizure? What was the patient doing prior/before the seizure? |
| A seizure patient becomes cyanotic. What do you do after the convulsions end? | provide artificial ventilations with supplemental oxygen |
| You notice that a bystander has placed a tongue blade in the corner of the seizure patient's mouth. What do you do? | carefully remove the object from the patient's mouth |
| How many minutes does a seizure normally last? | 1-3 |
| A patient has two or more back to back seizures without regaining full consciousness. This is known as | status epilepticus |
| If you suspect a conscious patient has had a stroke, transport them in this position | semi-sitting |
| A stroke patient has difficulty saying what he is thinking, even though he clearly understands you. | expressive aphasia |
| The patient can speak clearly, but can't understand what you are saying. | receptive aphasia |
| A common sign of a cerebrovascular accident is | headache |
| Signs and symptoms of stroke include: | vomiting, seizure, loss of bladder control |
| When a patient has many stroke signs and symptoms, which resolve in less than 24 hourse | TIA- transient ischemic attack |
| Medical term for fainting. | syncopal episode |
| This can be due to poor perfusion to the brain. | lightheadedness or dizziness |