Endocrine Diseases Part 4

Question 1

Hyperglycemic diuresis results in dehydration and hyperosmolality is known as what?

Answer 1

HONK

Hyperosmolar Nonketotic Coma

Question 2

DKA pts will have high or low anion gap? Metabolic alkalosis or acidosis?

Answer 2

high anion gap

metabolic acidosis

Question 3

How do you treat hyperosmolar nonketotic coma?

Answer 3

HYPO tonic solution

Question 4

What are the symptoms of Hyperosmolar Nonketotic Coma?

Answer 4

lethargy

confusion

Question 5

Caused by insulin > carbohydrate intake (blood glucose <~50 mg/dL)

Answer 5

hypoglycemia

Question 6

What is the treatment for hypoglycemia?

Answer 6

25 gram amp glucose

D50

give 1/2

Question 7

Type I diabetics are given _____.

Type II are told to ________.

Answer 7

insulin

diet/exercise

Question 8

Short acting insulin is ___%.

Long acting insulin is ___%.

Daily dose is: formula

Answer 8

30

70

kg * 0.3

Question 9

To check blood glucose, check hemoglobin and level should be:

Answer 9

Hb A1C

< 7% is good

Question 10

Steroids cause blood sugar to go up. True or false?

Answer 10

true

Question 11

Beta blockers will mask hypoglycemia. True or false?

Answer 11

true

Question 12

For dosing insulin,

How often do you check?

What is the formula for units?

Answer 12

every hour

(Blood sugar-100)/40

Question 13

1 U of Insulin is said to lower blood sugar ___ - ___ mg/dL.

Answer 13

25-30

Question 14

Tumors in the GI tract that release massive amounts of hormones:

Answer 14

Carcinoid Syndrome

Question 15

Symptoms of carcinoid syndrome: (3)

Answer 15

Bronchial constriction from serotonin

Flushing from histamine

Hypotension from vasodilation

Question 16

Anesthesia considerations for carcinoid syndrome:

Answer 16

Zofran (blocks seratonin)

Octriotide (somatostatin)

Question 17

Carcinoid Crisis is caused by what drugs? (2)

Answer 17

Sux

Atracurium

Question 18

What are the signs of Carcinoid Crisis? (4)

AID A

Answer 18

intense flushing

diarrhea

arrhythmias

ab pain