Metabolic and Endocrine Ch. 24

Question 1

Hypoglycemic levels in peds

Answer 1

<45 mg/dl in newborns, <60 mg/dl in a child

Question 2

DKA criteria in peds, BGL, pH, Bicarb, Urine.

Answer 2

1. BGL > 200, pH <7.3, Serum Bicarb < 15mmol/L, 3. ketonuria

Question 3

DKA v HHS

Answer 3

in HHS some insulin is present so no ketones but DHN is more profound, otherwise similar

Question 4

Physiologic changes with SIADH?

Answer 4

H20 not excreted, dilutes down lytes

Think s”I”adh With the “I” for “INCREASE IN” ADH
dieuretic would loose

Question 5

S/Sx Hypothyroidism (4)

Answer 5

1. large tongue, 2. wide fontanelle, 3. hypotonia, 4. bradycardia

Question 6

What might cause Cushing’s disease in a child?

Answer 6

caused by prolonged steroid use

Question 7

Addison’s disease

Answer 7

adrenal insufficiency that can be exacerbated by stress