Endocrine

Question 1

hyperglycemia hyperoslmoalr nonketoic coma.

Answer 1

seum bicarb > 15, no acidotic
replace the fluids in the first 8 hours and remainder in the ensuing 24 hours
too rapid correction of hyperosmolarity may result in cerebral edema

Question 2

DKA total body water deficit 70-80mg/kg what other things are depleted but look normal?

Answer 2

K, Mg, PO4

Question 3

cerebral edema and dka tx?

Answer 3

steroids are not indicatrd

• treat with manitol
• high mortality
• high risk of developping edema when gluse is below 250

Question 4

moderate hypothermia 28-32

Answer 4

shivering, bradycardia, bradyapnea

Question 5

associated with hypothyroidism?

Answer 5

anemia, resp adidosis form hypoventilation, hyponatermia and hypercholesterolemia

Question 6

adrenal insufficiency, K status?

Answer 6

hyperkalemia cause low aldo

Question 7

how to treat suspected adrenal insuff? to not mess up the cortisal

Answer 7

dexamethasone

Question 8

when to use hyperbaric O2?

Answer 8

decompresion sickness, nec fash, CO poisoning,

Question 9

treatment of thyroid storm?

Answer 9

start with PTU then one hour later administer iodine

Question 10

scoripian bites

Answer 10

most are mild, limited by pain and paresthesias at the site.. severe cases you can use antivenom, but complications include serum sickness, and imeediate and delayed hypersensitivity reactions occur.