Endocrine

Question 1

Treatment of DKA

Answer 1

FLUIDS

Insulin 0.1 U/kg/hr

If K < 3.3-3.5 then give potassium before insulin

If glucose < 200 add dextrose to fluids

Question 2

Dextrose-containing Fluids by Age Group

Answer 2

HAWAII 5-0

< 1 yr 10% at 5 ml/kg

1- 8 yr 25% at 2 ml/kg

> 8 yr 50% at 1 ml/kg

Question 3

Treatment of Adrenal Crisis

Answer 3

hydrocortisone 100 mg IV

+ D5NS (to replete their Na and gluocse)

Question 4

Treatment of Pheochromocytoma

Answer 4

Alpha blockade FIRST then beta blockers

Question 5

ECG Changes in Inc and Dec Ca

Answer 5

Hypocalcemia - long QT

Hypercalcemia - short QT

Question 6

How do you treat hypermagnesium?

Answer 6

Ca Cl 100-200 mg IV over 5-10 min (if severe)

otherwise hydration / stop exogenous mag

Question 7

Calculation for Free Water Deficit

Answer 7

.6 x weight (kg) x [(act Na/140) -1]

Question 8

Corrected Sodium for Hyperglycemia

Answer 8

• 1.6 for every 100 glucose above 100

Question 9

Niacin Deficiency

Answer 9

3 D’s (dementia, diarrhea, dermatitis)

Question 10

Vit C Deficiency

Answer 10

gingivitis, petechiae

Question 11

How do you treat severe hyponatremia (AKA seizing/coma)?

Answer 11

100 mL hypertonic saline (3%) over 10 min