Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
11 Cards in this Set
- Front
- Back
|
Identify factitious hypoglycemia
|
Self injection with insulin
(no C peptide detectable) Sulfonylureas |
|
|
Know how to treat hypoglycemia
|
If 46-70, feed patient
If 0-45 (symptomatic patient), One ampule of D50W I.V. push - 50% Dextrose solution in water. Provides about 200 calories If no I.V. access, 1mg Glucagon intramuscularly (I.M.), provided patient has adequate liver stores Maintenance I.V. fluid with Dextrose? |
|
|
Diagnose Insulinoma by lab results
|
Hypoglycemia with normal C-peptide
|
|
|
Recite 3 criteria for diagnosis of Diabetes
|
Fasting Plasma Glucose: 126 mg/dl. Fasting is defined as no caloric intake for at least 8 h.
Symptoms of diabetes plus casual plasma glucose concentration > 200 mg/dl Oral Glucose Tolerance Test: 2 hour glucose of 200 mg/dl. The test should be performed using 75 grams glucose |
|
|
What are the 3 classic symptoms of Diabetes?
|
Polyuria (frequent urination)
Polyphagia (frequent eating) Polydipsia (frequent drinking) |
|
|
What's the diagnostic test to identify Type 1 Diabetes?
|
Islet cell antibodies (90%)
|
|
|
Identify risk factors for developing Type 2 Diabetes
|
1) Obesity (85%)
2) Family History Parent (15%) Sibling (15%) 3) Age |
|
|
Know recommendations for patients taking Metformin (Glucophage) and having a C.T.
|
Hold for 48 hours after IV C.T. contrast (oral contrast is okay)
|
|
|
Name a major class of medications that causes secondary Diabetes
|
Corticosteroids (i.e. Prednisone)
|
|
|
Be able to diagnose Polycystic Ovarian Disease
|
Insulin Resistance
Hirsutism Acanthosis nigricans Irregular periods, fertility problems |
|
|
Recognize Gestational Diabetes and Diabetes Mellitus relationship
|
Gestational Diabetes has associated
Risk of developing Diabetes Mellitus later in life: 50% |
