Which emergency state results from excessive insulin causing dangerously low blood glucose?

Prepare for the Prehospital Emergency Pharmacology Test. Utilize flashcards and a variety of questions, each with explanations. Ensure success in your exam!

Multiple Choice

Which emergency state results from excessive insulin causing dangerously low blood glucose?

Explanation:
Excess insulin drives glucose out of the bloodstream into cells and suppresses glucose production by the liver. When this effect is too strong, blood glucose falls to dangerously low levels, depriving the brain and other tissues of fuel. That state is insulin shock, the emergency state caused by hypoglycemia from too much insulin. In the field, watch for signs like sweating, tremors, palpitations, anxiety, confusion, or loss of consciousness, and treat by rapidly raising blood glucose if the patient can safely take carbs; if not, use parenteral glucose or glucagon as appropriate. Diabetic ketoacidosis, by contrast, results from too little insulin, not too much, leading to high blood sugar and ketone buildup. The other options refer to unrelated topics and do not describe hypoglycemia from excess insulin.

Excess insulin drives glucose out of the bloodstream into cells and suppresses glucose production by the liver. When this effect is too strong, blood glucose falls to dangerously low levels, depriving the brain and other tissues of fuel. That state is insulin shock, the emergency state caused by hypoglycemia from too much insulin. In the field, watch for signs like sweating, tremors, palpitations, anxiety, confusion, or loss of consciousness, and treat by rapidly raising blood glucose if the patient can safely take carbs; if not, use parenteral glucose or glucagon as appropriate. Diabetic ketoacidosis, by contrast, results from too little insulin, not too much, leading to high blood sugar and ketone buildup. The other options refer to unrelated topics and do not describe hypoglycemia from excess insulin.

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