Case Study #2 Patient Name: Jacob M. Age: 17 Diagnosis: Type 1 Diabetes Mellitus (T1DM) History: Diagnosed at age 10, uses insulin pump therapy, active in sports Situation: Jacob is brought to the emergency department by his coach after collapsing during basketball practice. He is unconscious, diaphoretic, and unresponsive to verbal stimuli. A bedside glucose check reveals a blood sugar of 28 mg/dL. VS are temp. 97 F, HR 112, RR 12, BP 104/48, 02 sat 96%. The nurse prepares to administer 1 mg of glucagon IM as per the emergency protocol. After administering glucagon, what is the nurse's next priority action?

A. Turn the patient on his side: After administering glucagon to treat severe hypoglycemia, the nurse should turn the patient to their side to prevent aspiration if the patient vomits as they regain consciousness. This is a preventive measure to protect the airway until he wakes up. B. Administer a second dose of glucagon: Glucagon is usually given once in emergency situations to treat severe hypoglycemia. A second dose is not needed unless the patient remains unresponsive after 15 minutes, but the priority action is to monitor the patient closely after the first dose. C. Prepare for intubation: There is no immediate evidence suggesting the need for intubation. Jacob’s respiratory rate (12/min) and oxygen saturation (96%) are within reasonable limits. The priority is to monitor his response to glucagon and keep the airway clear. D. Give a high-protein snack: A high-protein snack should only be given after the patient is awake and alert and able to swallow safely. The immediate priority is to ensure the patient’s safety and monitor their response to glucagon.