Which of the following conditions requires careful monitoring of glucose due to risk of hypoglycemia?

Study for the Barron/Elsevier CCRN Test. Prepare with flashcards and multiple choice questions, each with hints and explanations. Ensure success on your exam!

The condition that requires careful monitoring of glucose due to a risk of hypoglycemia is ethanol infusion. Ethanol can inhibit gluconeogenesis, particularly in the liver, which may lead to decreased glucose production and result in hypoglycemia, especially when fasting or when a person has not consumed enough carbohydrates. Alcohol also promotes insulin release, which can further precipitate lower blood glucose levels.

Patients receiving ethanol infusion are at an increased risk for hypoglycemic episodes, particularly if they have not taken sufficient carbohydrates or if their liver function is compromised. This necessitates vigilant monitoring of blood glucose levels to prevent potential hypoglycemia, making it critical for healthcare professionals to be aware of this risk in patients receiving ethanol infusions.

In contrast, while diabetes mellitus is a condition that involves monitoring glucose levels, the risk of hypoglycemia in these patients is primarily related to their treatment regimen (such as insulin or certain oral hypoglycemics), rather than the condition itself necessitating monitoring. Chronic kidney disease can influence metabolism and might require monitoring but is not specifically associated with an acute risk of hypoglycemia in the same manner as ethanol infusion. Heart failure also requires careful management of fluids and electrolytes but is less associated with direct glucose monitoring for hypoglycemic

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