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15 Cards in this Set
- Front
- Back
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What are the electrolyte abnormalities seen in addison's disease?
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hypoNa (MC)
hyperKa hyperCa |
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Clinical presentation: A middle aged male with cirrhosis who is confused and unable to hold an assumed position (asterixis). What is the diagnosis and appropriate management?
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Hepatic encephalopathy.
lactulose, neomycin, Decreased protein intake, avoid all sedatives, avoid BICARBS, correct hypoK |
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Which therapy should not be given to the alcoholic who is acutely ill, dehydrated, and has the following lab values:
Glucose 140 Blood alcohol 0.00 PH 7.18 Serum ketones elevated |
BICARBS
This patient has alcoholic ketoacidosis. Tx consists of fluids, glucose |
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MC cause of hypoNA
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SIADH
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MC precipitating cause of DKA?
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infx
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Risks of high insulin therapy in DM?
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vascular collapse,
ATN, Cerebral edema |
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In pt with nonketotic hyperosmolar coma, fluid replacement should be initiated with ____ until the pt is normotensive. Then, ____ may be used afterwards.
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NS then 1/2 NS
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Which metabolic derngement may neurologic findings include: hemiparesis, hemisensory deficits, focal/grandmal sz
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Nonketotic hyperosmolar coma
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Severe hyperK is assoc with which neurologic sequela?
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Ascending motor paralysis
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Which tx has the most rapid onset and shortest duration of action for hyperK?
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calcium gluconate
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What is the appropriated dispo for a pt taking sulfylurea who presents wit drug-induced hypoglycemia
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Admit if they're taking a long acting hypoglycemic drug. Sulfa prolongs these drugs.
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What is the main contributor to the morbidity in pts with DKA?
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Severity of acidosis
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Clinical Presentation: elderly pt over 70 with lethargy, slowed mentation and placid emotionless facies. What diagnosis should be suspected?
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Apathetic thyrotoxicosis
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Which endocrinopathy may present with atrial fib and CHF dominating the clinical picture?
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Masked thyrotoxicosis
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In an agitated, disorited pt, which type of hallucination (visual, tactile, olfactory) would lead the clinician to suspect DT?
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visual
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