Emergency Medical Technician (EMT) Intermediate Practice Exam

Before administering IV dextrose to an unresponsive patient with low blood glucose, what should be ensured?

1. That the IV line is patent and running effectively

2. That the patient is not allergic to dextrose

3. That the patient has not eaten recently

4. That the blood pressure is stable

The correct answer is: That the IV line is patent and running effectively

In the case of administering IV dextrose to an unresponsive patient with low blood glucose, verifying that the IV line is patent and running effectively is crucial. A patent IV line ensures that the medication can be delivered promptly and effectively, which is critical in an emergency situation where the patient may be experiencing hypoglycemia. If the IV line is not patent, there is a risk of the dextrose not being delivered at all, or it may result in complications such as infiltration or extravasation, which can affect tissue health and delay treatment. Monitoring the effectiveness of the IV line includes checking that there are no obstructions, air bubbles, or kinks in the tubing and confirming that fluid is flowing as it should. This step is particularly important because administering the dextrose becomes a race against time in a hypoglycemic emergency where the patient’s condition can rapidly deteriorate. While considerations like patient allergies, recent food intake, and blood pressure are important in broader treatment contexts, they do not take precedence over ensuring that the IV delivery system is functional in this specific situation.