15 Endo electrolytes

Question 1

metabolic alkalosis think what

Answer 1

diarrhea

Question 2

DKA severity

mild, mod, severe

Answer 2

less than:

7. 30, 18, alert
8. 25, 15, drowsy
9. 0, 10, ams

Question 3

dka tx:

how much SQ insulin to give when transitioning

Answer 3

Reg insulin: give 5U per every 50 glucose over 150 (max 20U)

or:

Give long acting glargine 0.25U/kg
Remember, normal person requires 0.5 U/kg insulin per day
0.25 basal, 0.25 bolus with meals

Question 4

sx hyponatremia, with sz

how much hypertonic saline to give

Answer 4

100ml in 10 min,
100 ml in 50min if needed

think 250ml in incrased iCP

Question 5

wenicke encephalopathy

how much thiamine pt needs

Answer 5

500 mg IV daily

Question 6

vitamin B names, and their diseases
B1
B3
B6
B12

Answer 6

thiamine, beriberi/wernickes
niacin–pellagra (3 ds diarrhea dementia dermatitis)
pyridoxine
cobalamin