A 24-year-old male is supine on the floor and unconscious with snoring respirations. You note a weak, rapid pulse and cool, diaphoretic skin. HR = 124 and regular, BP = 136/88, RR = 12 and regular. Blood glucose is 24 mg/dL. After manually opening the airway and providing oxygen, which of the following should be performed next?

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Quizplus · Accepted Answer

The patient's low blood glucose level (hypoglycemia) is likely the cause of his unconsciousness and altered vital signs. The first priority is to administer dextrose to raise the blood glucose level. IV administration is preferred over IM because it will have a quicker onset of action. Glucagon is another option for treating hypoglycemia, but it is typically reserved for patients who cannot receive dextrose IV (e.g. those with severe liver disease or who are actively seizing). Intubation would not be necessary unless there were airway concerns or if the patient did not respond to initial interventions.

A 24-Year-Old Male Is Supine on the Floor and Unconscious