Emergency Medical Technician (EMT) Intermediate Practice Exam

In which scenario is it most appropriate to administer oral glucose?

1. A patient in respiratory arrest

2. A confused diabetic patient who is breathing adequately

3. A patient with severe burns

4. A conscious patient with high blood sugar

The correct answer is: A confused diabetic patient who is breathing adequately

Administering oral glucose is indicated in scenarios where a patient has hypoglycemia, which is a dangerously low level of glucose in the blood. In this scenario, a confused diabetic patient who is breathing adequately is the most appropriate candidate for oral glucose because their altered mental status suggests they may have low blood sugar, a common condition in individuals with diabetes. When a patient is confused, particularly a diabetic, it is critical to ensure that their blood sugar levels are adequately managed. If the patient is breathing well and is conscious, they have the ability to swallow, making oral glucose a safe and effective treatment option to quickly elevate their blood sugar levels. Administering glucose in this situation helps alleviate symptoms of hypoglycemia and prevent further deterioration of the patient’s condition. In contrast, administering oral glucose would not be appropriate in the other scenarios. For instance, a patient in respiratory arrest would require immediate airway management and potentially advanced life support rather than oral glucose. A patient with severe burns may have different medical needs primarily focused on pain management and fluid resuscitation. Lastly, a conscious patient with high blood sugar should not receive oral glucose, as this could exacerbate their hyperglycemia and lead to serious complications.