CIS-Endocrine Flashcards

1
Q

deep rapid respirations associated with acidosis?

A

kussmaul respirations

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2
Q

anion gap calculation?

A

Na - (Cl + HCO3)

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3
Q

GI DDx for abdominal pain?

A
  • GERD
  • Gastritis
  • PUD
  • Obstruction
  • Inflamm –> ileitis, colitis, appendicits, pancreatitis, cholecystitis
  • infx
  • vascular, mesenteric thrombosis
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4
Q

GU DDx for abdominal pain?

A
  • renal lithiasis

- torsion

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5
Q

Kussmaul breathing, unintentional weight loss over past few months, polyuria, polydipsia, polyphagia, hyperglycemia, positive ketones in urine and blood, low pH with AG is what?

A

DKA

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6
Q

where to admit pt with DKA?

A

ICU

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7
Q

most important acute tx for DKA?

A

IV FLUIDS

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8
Q

Other than fluids, other important points of tx/electrolytes/frequent monitoring in DKA?

A
  • K replacment –> Insulin/IVF will drive K into cells and pts can become hypoK
  • Frequent vitals and lab monitoring –> K, Mg, Phoshate
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9
Q

how do you correct for sodium when sugar is high?

A

Na + [(glucose-100) x 0.016

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10
Q

when do you switch from normal saline to D5 1/2 NS and why?

A

pt on insulin gtt whn their glucose gets to 250 to prevent hypoglycemia

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11
Q

what is the goal of tx of DKA?

A

FIX ACID-BASE DISTURBANCE

Not to bring sugar back to normal

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12
Q

when can you end the tx protocol?

A

when the AG is closed –> switch to SQ or SC insulin, stop gtt 2 hrs after admin of SQ long acting

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13
Q

Chapmans pt of pancreas?

Chapmans pt of kidneys?

A

R 7th intercostal space

1” superior and 1” lateral to the umbilicus

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14
Q

sympathetics of pancreas?

parasympathetics of pancreas?

A

T5-9

OA, AA

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15
Q

when is OMM indicated for DKA?

A

after pt stabilized

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16
Q

sympathetics of kidneys?

parasympathetics of kidneys?

A

T9-11

OA, AA

17
Q

Lymphatic techniques for DKA?

A
  • Cranial-CV4 or condylar decompression
  • Resp diaphragm –> MFR/ST
  • Check rib motion –> correct rib dysfunctions
18
Q

Sequence of lymphatic drainage beginning with thoracic inlet?

A

thoracic inlet –> thoracic area –> abdominal area –> UE or LE depending on which is more dysfunctional –> head and neck -> thoracic inlet