During a hypoglycemic episode, which action is described as immediate in the protocol?

• A. Get the glucose monitor and do a glucose check
• B. Call emergency services
• C. Follow the emesis protocol if necessary
• D. Get the tube of glucose or a sugary soda pop for the patient to drink immediately

Answer: (D)

Immediate action in hypoglycemia, when the patient is able to swallow, is to supply fast-acting oral glucose to raise the blood sugar quickly. Giving something like a glucose-containing tube or a sugary drink starts restoring brain glucose right away, which is why it’s the first step in the protocol. The brain depends on glucose, and oral glucose acts faster than waiting for tests or additional steps. After giving it, monitor and recheck in about 15 minutes; if there’s no improvement, escalate care. If the patient cannot swallow or is unconscious, don’t give oral glucose—seek emergency help and use alternative treatments like IV dextrose or glucagon.