Drag each finding to the acute glucose emergency it most str… | MyMerci
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Medical Emergencies

Drag each finding to the acute glucose emergency it most strongly supports.

Matrix Multiple Choice

Choose your responses, then check the answer.

1. Glucose 710 mg/dL, effective osmolality 326 mOsm/kg, beta-hydroxybutyrate 1.5 mmol/L, and pH 7.36
2. Glucose 238 mg/dL, beta-hydroxybutyrate 4.2 mmol/L, bicarbonate 14 mmol/L, and pH 7.24
3. SGLT2 inhibitor use with glucose 178 mg/dL, beta-hydroxybutyrate 4.0 mmol/L, and pH 7.25
4. Diaphoresis, tremor, and palpitations with a glucose of 54 mg/dL
5. Older adult with profound dehydration, glucose 680 mg/dL, high osmolality, and progressive confusion
6. Confusion with a glucose of 38 mg/dL that improves promptly after prescribed IV dextrose
Explanation
DKA requires diabetes or glucose at least 200 mg/dL together with significant ketonemia and metabolic acidosis; euglycemic DKA may occur, especially with SGLT2 inhibitors. HHS requires marked hyperglycemia and hyperosmolality without severe ketonemia or acidosis, but mild ketonemia may be present. Hypoglycemia produces autonomic or neuroglycopenic findings that improve after glucose treatment.
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