Which intervention is NOT appropriate for a patient experiencing DKA?

In cases of diabetic ketoacidosis (DKA), the patient is typically experiencing a severe deficiency of insulin, leading to high levels of ketones and hyperglycemia. Therefore, managing their glucose levels is crucial, and interventions must prioritize the patient's immediate safety and stabilization.

The administration of oral glucose is inappropriate in this situation because the patient is often unable to maintain or handle insulin properly. In DKA, the patient may also be in a state of altered mental status or unconscious due to severe metabolic acidosis and high blood sugar levels, potentially making them unable to swallow safely. If they cannot protect their airway, giving oral glucose could lead to choking or aspiration.

In contrast, administration of oxygen is commonly indicated to ensure that the patient receives adequate oxygenation, especially if there is any respiratory compromise. Placing the patient in a recovery position is also beneficial, as it helps to maintain an open airway and prevent choking. Finally, summoning Advanced Life Support (ALS) for backup is essential in managing DKA, as they can provide advanced interventions that are beyond the EMT scope of practice, including insulin administration and further monitoring.