‼️MIDTERM (DKA, Myxedema, Thyrototoxiosis notes)

Question 1

What diagnosis is defined of most commonly in type 1 diabetics: no insulin or sugars in the cells which causes fat to burn in young patients?

Answer 1

DKA

Question 2

What diagnosis is classified as increased glucose increase ketones in blood and urine with a rapid onset?

Answer 2

DKA

Question 3

Five most common causes of DKA?

Answer 3

Sepsis/infection, sickness, stress/surgery, skipping insulin, undiagnosed type 1 diabetes mellitus

Question 4

Treatment for DKA?

Answer 4

Treat cause, IV fluids, blood glucose hourly checks, blood glucose under 200, calcium gluconate, IV regular insulin (Humulin R or Novolin R).

Question 4

Lab values found for DKA?

Answer 4

Blood glucose greater than 300, ketones and urine and blood, hyperkalemia, and metabolic acidosis

Question 5

What diagnosis is classified by severe hypothyroidism with cause of stopping medication, untreated, hypothyroidism, or infection.

Answer 5

Myxedema

Question 5

s/s of Myxedema?

Answer 5

Hypoxia, decreased cardiac output, decreased heart rate, decrease blood pressure, decreased level of consciousness, hypothyroidism, and decrease urine output

Question 6

Tx for Myxedema?

Answer 6

Intubation, levothyroxine, and warming the patient to prevent severe hypothermia.

Question 7

Thyrotoxicosis is defined by…

Answer 7

Severe hyperthyroidism

Question 8

What are causes of thyrotoxicosis?

Answer 8

Infection, stress, DKA, and thyroidectomy.

Question 9

Signs and symptoms of thyrotoxicosis?

Answer 9

Severe hypertension, chest pain, dysrhythmia, dyspnea, delirium, fever, nausea and vomiting.

Question 10

Treatments for thyrotoxicosis?

Answer 10

Beta blockers, anti-antibiotics, and anti-thyroid.