Inpatient Diabetes Management — Flashcards

Flashcard 1: The massive insulin surge in refeeding syndrome results in _____phosphatemia, hypokalemia, and hypomagnesemia

Answer: hypo

Flashcard 2: _____ ml of transient loss/insensible loss per day would have to be accounted for in the calculation for giving daily IV fluids to a patient.

Answer: 500-600

Flashcard 3: Electrolytes must be checked once _____ in a patient undergoing total parenteral nutrition

Answer: every 3 days

Flashcard 4: The best position for a conscious patient to be in during the insertion of Ryle's tube is _____ with neck flexion.

Answer: sitting

Flashcard 5: Non-ICU inpatients with community-acquired pneumonia are treated with: _____ OR β-lactam + macrolide (or doxycycline)

Answer: Respiratory fluoroquinolone

Flashcard 6: Major risk factors for parotitis include dehydration, _____ (elderly postoperative patients), and anti-cholinergics

Answer: intubation

Flashcard 7: Along with transfusions, a patient with Acute Chest Syndrome (ACS) should also be given prophylactic _____ therapy and incentive spirometry

Answer: antibiotic

Flashcard 8: Metabolic complications such as hypoglycemia or hyperglycemia are commonly associated with which type of nutritional support?

Answer: Total parenteral nutrition (TPN)

Extra: Total parenteral nutrition (TPN) is associated with metabolic complications like hypoglycemia (often upon abrupt discontinuation) and hyperglycemia. It bypasses the gastrointestinal tract, requiring careful monitoring of electrolytes and blood glucose.

Flashcard 9: Refeeding syndrome occurs due to excessive administration of _____

Answer: carbohydrates