Explain the pathophysiologic basis for the classic signs

Reference no: EM133343147

Assignment:

Marcel M., 32 years old, is brought into the Emergency Department by his wife. She informs the nurse that her husband has not been feeling well over the past few days with a gastrointestinal problem and his mental state has slowly shifted from being anxious and 'foggy-headed' to drowsy. About 1 hour prior to arrival at the ED, Marcel reportedly experienced a convulsion. His wife relates that her husband is a type 1 diabetic who has been on insulin most of his life. Over the past 3 days, he has been trying to eat but has been vomiting up his food. He had continued to administer his usual dosage of insulin until today. The nurse suspects that Marcel may be experiencing hypoglycemic coma.

ANSWER THE FOLLOWING QUESTIONS

1. Assuming that Marcel has developed hypoglycemic coma, what common symptoms would you anticipate finding during your assessment?

2. Briefly explain the pathophysiologic basis for the classic signs and symptoms of hypoglycemia.

3. Marcel is now unconscious. What interventions are appropriate at this time?

4. A STAT bedside glucometer reading cannot be obtained at this time. Should Marcel's drug therapy of either glucose or glucagon be held until his blood sugar level is confirmed? Why or why not?

5. After administration of IV 50% glucose, what assessments should the nurse complete?

Reference no: EM133343147

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