Surgical complication in the diabetic patient Flashcards Preview

Year 2 Endocrine > Surgical complication in the diabetic patient > Flashcards

Flashcards in Surgical complication in the diabetic patient Deck (9)
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1

how does inflammation influence insulin resistance?

inflammation exacerbates insulin resistance

2

what % of the diet should be from plant food?

80%

3

what are comorbidities to surgery on a diabetic patient?

neuropathy
nephropathy
other medications

4

what is the baseline preop evaluation for an emergent surgery?

establish baseline
EKG
blood work
optimize what you can

5

how did intensive insulin therapy affect mortality?

increased

6

what is the goal for blood glucose?

under 180

7

what is the best method for insulin administration / route?

either subQ or IV drip (both do not combine routes)

8

what is the treatment for contrast induced nephropathy preoperatively?

adequate hydration
N-acetylcysteine (glutathione donor)

9

what medications and procedures given in the hospital can make blood glucose worse?

steroids
TPN