Devochka

Facebook has privacy settings that you must not have been using. Nobody can see my posts except friends. You may have had your settings set to friends of friends, or acquaintances, or even friend requests. You can't even find my fb page or my name b/c I have the privacy settings high enough.

Always A, B, C. Airway is always first. If you can't breathe, you WILL die. You can't take care of B until you take care of A. You can't take care of C until you take care of B. SOB first, then chest pain, then pain meds, then crazy family member.

Being a polyglot (I speak more than 3 languages fluently), I can say this: It was always far easier for me to read the language than to speak, write, or understand it. Reading comprehension always comes first. Speaking and understanding always come last. Let's also not forget that most medical words are very close from English to other languages, as most of them come from the Latin or Greek into English and then to other languages. If she is a Spanish speaker, it will be far easier for her to understand medical words b/c Spanish is a Latin-based language. I always did better on my written tests in foreign languages when it was nice and quiet and I had time to think, rather than working in a group or on projects. You have no proof, and don't worry about it-if she is cheating, she will most likely fail her boards.

Venting is awesome, but you are missing out on a good nursing lesson: How to deal with difficult people. Have you ever taken a minute to sit down with her and tell her how you feel and that it would work better for you b/c of your adhd to be able to study by yourself? If she doesn't know that what she is doing is bothering you and you haven't told her, she is not able to address it. This is also a leadership skill. Don't necessarily put her in her place, but have an open and honest, non-confrontational talk. Maybe invite her to a coffee shop and discuss it with her to make it seem less confrontational and more friendly. Good luck. :)

@Brinks, you are correct in that the liver will start kicking out sugar to get the body ready for stress, but generally, this is compensated for by the pancreas kicking out more insulin, assuming they have a normally functioning endocrine system, in order to level out the blood glucose levels. Normally, unless there is damage to the pancreas a non-diabetic should not have high blood glucose. People who end up getting high glucose that did not previously have an issue are usually undiagnosed T2 diabetics. There are meds that can cause high blood glucose, but again, a lot of times, this only shows up in somebody that is T2 (or T1) and will go away once they are off the meds that caused it. Perfect example-my father had open heart surgery. He never had problems with his blood glucose before, but while he was in the hospital and for a while after, he had high blood sugars. They actually were injecting him with Novolog. This was due to the trauma of the surgery. He was a budding T2 diabetic, even though he was thin and a runner. I've only been a nurse for 3 years, but have been a medic for 12. I'm also a T1 diabetic. :)

I think that the question is a stupid question. In the real world, you're not going to be sitting there asking which would be the most fatal and the rationale. Any have the potential of fatality, and all can be equally argued. You have no way of knowing what the writer of the question had in mind when they wrote the question.

Cardiogenic shock is shock that is caused by the heart ceasing to beat. The MI caused the cardiogenic shock. The heart goes into a rhythm such as v-fib or non-pulsed/pulsed v-tach b/c of irritation from lack of oxygen from the coronary arteries and then ultimately goes into asystole. Depending on the time down, the lack of oxygen can cause damage to the other organs, which could cause the pancreas to function less efficiently. Trauma can also cause increased blood glucose, but it can also be that this person is an undiagnosed T2 diabetic. Infection and illness can also cause high blood sugars, as can steroids and some other antipsych meds. And, what do you mean by 'high' blood sugar? The standards today are ridiculous-saying that anything over 99 is high is unrealistic, as well as the new 'low standard' of 65. Sorry, but 65 is too low and requires treatment for most non-diabetics and some diabetics. Also, is the person on an IV meds, such as D5W? That will cause it as well. If they are a drinker, they can get pancreatitis (look for increased lipase levels) which can cause high levels.