Endocrine emergencies Flashcards
1
Q
Diabetic ketoacidosis- Sx
A
- Fatigue, weakness, orthostasis
- Kussmal respirations
- Fruity, acetone odor
- Polyuria, dipsia, phagia
- Coffee ground emesis
2
Q
Diabetic ketoacidosis- Tx
A
- IV fluids
- Dextrose
- Replace K, bicarb and sodium
3
Q
Thyroid storm- Sx
A
- Hyperthyroid
- Thyromegaly
- Tremor, prox musc weakness
- Diaphoresis
- Agitation and stare
- Ophthalmalopathy
- Friction rub or murur, fever
4
Q
Thyroid storm- Tx
A
- IV fluids
- Sedation- phenobarbital
- Thionamides
- Iodine
5
Q
Non-ketotic hyperosmolar coma- Sx
A
- Insidious onset of weakness
- Polydipsia and uria
- Lethargy and confusion
- Profound dehydration
6
Q
Non-ketotic hyperosmolar coma- Tx
A
- Hypotonic fluid replacement
- Insulin
7
Q
Myxedema coma- Sx
A
- Dry skin
- Delayed reflex relaxation
- Weakness, edema
- Hypothermic
- AMS
- Hypothyroid
8
Q
Myxedema coma- Tx
A
- Ventilation
- Isotonic crystalloid fluids
- Levothyroxine
9
Q
Adrenal crisis- Sx
A
- Hypotension refractory to fluids
- Moon facies or buffalo hump
- Orthostasis, wt loss, anorexia
- Mental depression
- Hyperpigmentation of skin folds
- Decreased body hair
10
Q
Adrenal crisis- Tx
A
- Stabilize
- IV hydrocortisone
