1: Hypoglycemia Flashcards

1
Q

Clinical Signs of Hypoglycemia:

A

Lethargy, Weakness, Ataxia, Bizarre Behavior, Seizures, Coma

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2
Q

Differentials for Hypoglycemia:

A

Liver Failure, Sepsis, Hypoadrenocorticism, Signalment, Neoplasia (Insulinoma, etc), Xylitol Tox, Insulin Overdose, Spurious

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3
Q

BG level considered Hypoglycemia:

A

BG ≤60

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4
Q

As a part of a hypoglycemia workup, what does AUS allow you to evaluate?

A

Liver appearance
May visualize insulinoma

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5
Q

As a part of a hypoglycemia workup, what does bile acids allow you to evaluate?

A

Liver function

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6
Q

As a part of a hypoglycemia workup, what does basal cortisol allow you to evaluate?

A

Hypoadrenocorticism; can follow up with ACTH Stim test

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7
Q

As a part of a hypoglycemia workup, what does paired Insulin/BG allow you to evaluate?

A

Insulinoma (High Insulin, low BG is diagnostic)

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8
Q

Treatment for a hypoglycemic crisis:

A

1mg/kg 50% dextrose IV- diluted

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9
Q

What treatment considerations are needed when a hypoglycemic crisis is due to an insulinoma?

A

Give dextrose SLOW
IV dexamethasone
Can give glucagon as alternative

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10
Q

What are treatment options for insulinomas:

A

Diet, Prednisone, Diazoxide, Surgery

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11
Q

What are treatment options for hypoadrenocorticism-induced hypoglycemia?

A

Prednisone

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12
Q

What are treatment options for signalment-induced (toy breed, juvenile) hypoglycemia?

A

Diet

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13
Q

What are the diet recommendations for hypoglycemia?

A

High fat, protein, complex carbs
Multiple small meals

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