endo handouts Flashcards
in DKA pts with complications of cerebral edema what lymphatic technique
cranial like CV4 or condylar decompression
goal of treatment for DKA
fix acid base disturbance not bring sugar to normal level
toxic cause diffuse abdominal pain
black widow spider bite, snake bite
treat rib and diaphragm dysfucntion in DKA from kussmaul breathing
respiratory diaphragm: MFR/ST
check rib motion and fix dysfunctions
parasympatethics of pancreas and kidney
OA,AA
frequent vital and lab monitoring in replacement for DKA
K+,Mg,Ph-
most important treatment for DKA
IV fluids
when is omm indicated in DKA
after pt stabilized
large amount of beeer intake can cause ___ pain is more localized to epigastric region
gastritis
fluid in DKA and why and what to switch to
initially normal saline then switch to D51/ 2NS when pt on insulin when the glucose gets to 250 to prevent hypoglycemia
kidney chapman pt
1 inch superior and lateral to umbilicus
GOLDMARK (new anion gap mnemonic)
Glycols Oxoproline Lactate D-Lactate (GI disorders) Methanol Aspirin Renal Failure ketoacidosis (starvation/ETOH/DKA)
unintentional wt loss over last 2 months, polyuria, polydipsia, polyphagia, hyperglycemia, postiive ketones in urine and blood, low pH with anion gap
DKA
ddx of diffuse abdominal pain GI
GERD Gastritis PPUD obstruction inflammation of GI organs infectious vascular, mesenteric thrombosis
diffuse abdominal pain GU symptoms
renal lithiasis
blocked or torsed ureter, testicular torsion
correct sodium when sugar is high
Na + ((glucose -100) X .016))
sympathietics of kidney
T9-11 on R
history for obstuction
prior surgeries to cause adhesions
high stress and pain in upper quadrants
PUD
overall goal of OMM treatment in DKA is what
to achieve homeostasis of body fncts, normalized fluid balance, derease syptomatology, hasten recvoery
MUD PILES
methanol
uremia
DKA
paraldehyde infection/iron/isoniazid lactic acidosis ethylene glycol salicylates
metabolic cause diffuse abdominal pain
uremia, check GFR and bun/creat
hyperlipidemia- elevated tgs can cause pancreatitis
DKA
sympathetic of pancreas
T5-9
chapman pt of the pancreas
R 7th intercostal space
calculate anion gap
sodium - (bicarb + cl)
when can you end protocol on DKA pt
when the gap is closed
then switch to SQ insulin
stop gtt 2 hours after admin of SQ long acting
if perforated ulcer would expect
rigitidy, rebound, guareding
