A type I diabetic presents with deep, rapid respirations and a fruity odor on her breath. Which of the following would best help correct the underlying physiologic disturbance?
A) Oxygen
B) Dextrose
C) Insulin
D) Glucagon

Question

Quizplus · Accepted Answer

The patient is likely experiencing diabetic ketoacidosis, a condition that occurs when there is a buildup of ketones in the blood due to insulin deficiency. Insulin is needed to facilitate glucose uptake from the blood into the cells for energy production, and in its absence, the body starts breaking down fat for energy, leading to the production of ketones. The deep, rapid respirations are the body's attempt to get rid of excess ketones, and the fruity odor is the smell of the ketones on the patient's breath. Administration of insulin will help correct the underlying insulin deficiency, allowing for glucose uptake into the cells and stopping the body from breaking down fat for energy, ultimately reversing the ketoacidosis. Oxygen and dextrose may be needed to support the patient's respiratory and metabolic needs, but insulin is the key treatment for diabetic ketoacidosis. Glucagon is not appropriate in this situation as it would only further raise the patient's blood glucose levels, worsening the ketoacidosis.

A Type I Diabetic Presents with Deep, Rapid Respirations and a Fruity