CIS-Endocrine Flashcards
deep rapid respirations associated with acidosis?
kussmaul respirations
anion gap calculation?
Na - (Cl + HCO3)
GI DDx for abdominal pain?
- GERD
- Gastritis
- PUD
- Obstruction
- Inflamm –> ileitis, colitis, appendicits, pancreatitis, cholecystitis
- infx
- vascular, mesenteric thrombosis
GU DDx for abdominal pain?
- renal lithiasis
- torsion
Kussmaul breathing, unintentional weight loss over past few months, polyuria, polydipsia, polyphagia, hyperglycemia, positive ketones in urine and blood, low pH with AG is what?
DKA
where to admit pt with DKA?
ICU
most important acute tx for DKA?
IV FLUIDS
Other than fluids, other important points of tx/electrolytes/frequent monitoring in DKA?
- K replacment –> Insulin/IVF will drive K into cells and pts can become hypoK
- Frequent vitals and lab monitoring –> K, Mg, Phoshate
how do you correct for sodium when sugar is high?
Na + [(glucose-100) x 0.016
when do you switch from normal saline to D5 1/2 NS and why?
pt on insulin gtt whn their glucose gets to 250 to prevent hypoglycemia
what is the goal of tx of DKA?
FIX ACID-BASE DISTURBANCE
Not to bring sugar back to normal
when can you end the tx protocol?
when the AG is closed –> switch to SQ or SC insulin, stop gtt 2 hrs after admin of SQ long acting
Chapmans pt of pancreas?
Chapmans pt of kidneys?
R 7th intercostal space
1” superior and 1” lateral to the umbilicus
sympathetics of pancreas?
parasympathetics of pancreas?
T5-9
OA, AA
when is OMM indicated for DKA?
after pt stabilized
