Approach to hypoglycemia Quiz: Ace Your Exams
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A 42-year-old man is brought by ambulance to the emergency department for evaluation of altered mental status. His wife reports that she awoke that morning and found the patient slumped in his chair, and she was unable to awaken him. Past medical history is notable for type 1 diabetes mellitus, hypertension, and hyperlipidemia. Temperature is 36°C (96.8°F), blood pressure is 130/70 mmHg, pulse is 111/min, respiratory rate is 16/min, and oxygen saturation is 96% on room air. The patient appears pale and is moaning nonsensical words. No abnormal findings are noted on ophthalmic, cardiopulmonary, and abdominal exams. Fingerstick blood glucose is 37 mg/dL. Which of the following should be administered?
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