Endocrine Part 2 Flashcards
What can SGLT-2i do to blood levels and what should be done because of it
causes HYPOvolaemia
—> leads to hypotension
(before starting SGLT-2i, always collect hypovalaemia)
Too much Antidiuretic more causes what electrolyte imbalance
Hyponatraemia
What can pregnancy do to insulin needs
increase
What are the main symptoms of Diabetes insipidus
- extreme thirst
- extreme urination
What can steroids do to your immune system
supression
What are the side effects of Acarbose
- GI effects
- liver disorders
How to treat trigeminal neuralgia
carmamazepine
Monitoring timing for Levothyroxine thyroid levels
every 3 months
—> then yearly
What is the treatment for nephrogenic diabetes insipidus
Thiazide Like
Which antidiabetic can cause taste disturbances
Metformin
How to treat adrenal insufficiency
Glucocorticoids
What electrolyte imbalance can desmopressin cause
hyponatraemia
Which thyroid medication cause acute pancreatitis
Carbimazole
Which thyroid medication can cause liver disorders
Propylthiouracil
Why is the HBA1C target for Gliclazide higher than metformin
Because gliclazide can cause hypoglycaemia, so the target should be higher
What is the treatment for gestational diabetes where blood glucose levels exceed 7mmol/L after diet and lifestyle
Insulin (usually isophane)
How to treat hyponatraemia
Tolvaptan
Why should you avoid rapid infusion of tolvaptan
because rapid correction of hyponatraemia can cause osmotic demyelination
(can lead to neurological effects)
Is weight loss or weight gain common in DKA
weight loss
What should non fasting Blood glucose levels read
5-9
What should fasting blood glucose levels read
5-7
When should DKA treatment stop in hospital
after 1 of patient eating
1st and 2nd Line for Hypoglycaemia in hospital
1st:
Glucagon
2nd:
IV Glucose
How long after trialing glucagon for hypoglycaemia in hospital should you wait to see if it worked
10mins
if forgetting to take residronate in the morning 30 mins before food, what is the other time of the day can you take it.
2 hours before or after food
What supplement interacts with Ibandronic acid
Iron
When to Ibandronic acid around ferrous supplements
1 hour before or 6 hours after
Which organ can Sulfonylureas affect
kidney
What does acarbose do to absorption of substances
delays digestion and absorption of starch and sucrose
Which tuberculosis medication causes ocular effects
- Rifampicin
- Ethambutol
