SA Endocrinology 4 - Hypoadrenocorticism and Calcium Disorders Flashcards
1
Q
Which three changes may hyperkalaemia see on an ECG?
A
Flattened P
Wide QRS
Spiked T
2
Q
How should you manage hyperkalaemia in an emergency?
A
Calcium gluconate, fluid therapy, glucose +/- insulin
3
Q
How would you diagnosed hypoadrenocorticism?
A
ACTH stimulation test - failure of stimulation shows hypoadrenocorticism
4
Q
What do all hypoadrenocorticoid dogs require?
A
Glucocorticoid replacement
5
Q
What is the mineralocorticoid replacement used?
A
Desoxycortone pivalate
6
Q
Which drug is an important iatrogenic cause of a flat-line response to ACTH?
A
Megoestrol acetate (Delvosteron)
7
Q
What are the two ways that hypercalcaemia occurs?
A
PTH/rp mediated or vitamin D mediated
8
Q
How would you manage clinically significant hypocalcaemia?
A
Oral vitamin D (calitriol, alfacalcidiol)
