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10 Cards in this Set
- Front
- Back
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Hypoglycemia in alcoholic?
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depletion of NAD -> inhibition of gluconeogenesis
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Emergent tx of hypoglycemia?
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IV glucose or IM glucagon if IV not readily available
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Osmolality where AMS begins?
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320 mOsm/kg
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Negative side-effects of HCO3?
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paradoxical cerebral acidosis, shifts HgbO2 dissociation curve away from O2 release, drives K intracellularly, and hyperosmolality in an already hyperosmolar state; be careful
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Tx of alcoholic ketoacidosis?
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fluids, glucose, potassium, thiamine; insulin is dangerous. They are usually normoglycemic.
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Conditions associated with elevated lactate but not acidosis (normal hyperlactatemia)
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exercise, hyperventilation, infusion of gluc, slaine, bicarb, insulin, epi. CHF, pulm dz, liver dz, DM
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HHNK state?
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high flucose, osm > 315, negative serum ketones, no acidosis; tx with fluids, insulin, potassium, mag
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Inciting factors for thyroid storm in pts with hyperthyroidism?
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removal of antithyroid drug, radioactive iodide, iodinated contrast, vigarous palpation
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Signs/sx of thyroid storm?
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AMS (excited), tachycardia, wide pulse pressure, exophthalmos, goiter, myopathy, fever, excited cardiovascular and GI states
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Tx of thyroid storm?
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dexamethasone (over others), propranolol, PTU, iodine; avoid ASA
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