PLAB 2 (Professional And Linguistic Assessments Board Part 2) [plab-2-gmc]

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A 75-year-old woman is found on the floor at home. She is confused with a GCS of 12. Her blood glucose is 1.8 mmol/L. What is the immediate management?

Give oral glucose gel Administer IV glucose (10% or 20% dextrose) as the patient has reduced consciousness and cannot safely swallow, followed by longer-acting carbohydrate once conscious Wait and recheck glucose in 30 minutes Administer insulin to stimulate glucose release

Correct Answer:

Administer IV glucose (10% or 20% dextrose) as the patient has reduced consciousness and cannot safely swallow, followed by longer-acting carbohydrate once conscious

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