A 28-year-old woman with type 1 diabetes accidentally injects 100 units of rapid-acting insulin instead of her usual 10-unit dose. She now presents diaphoretic, confused, and tremulous. Vital signs: BP 142/88 mmHg, HR 118/min, RR 20/min, temperature 36.8°C. Fingerstick glucose is 28 mg/dL. Recent labs show normal serum ketones. She denies alcohol use. Which of the following is the most immediate treatment?
- A)Methimazole
- B)Calcium gluconate
- C)Intravenous dextroseGABARITO
- D)Hydroxocobalamin
- E)Pralidoxime
Explicação
Symptomatic severe hypoglycemia from insulin overdose requires rapid glucose replacement, typically with intravenous dextrose in a patient who is altered or unable to safely take oral glucose. This addresses the immediate life threatening deficit. Ver explicação completa e trilha adaptativa →