Endocrinology & Diabetes — Flashcards

Which of the following are only found in DKA (not HHS)? • Severe abdominal pain • Polyuria/polydipsia • N&V • Hyperventilation/Kussmaul breathing • Pear drop breath_____, Hyperventilation/Kussmaul breathing, pear drop breath

There is no one insulin regimen suitable for all T1DM patients. Options include: • _____ • Mixed (biphasic) - 1/2/3 injections per day • Continuous insulin infusion (insulin pump)

Hint: First-line

DKA causes the blood to become _____osmolar which leads to osmotic diuresis in the kidneys causing patients to be hypovolaemic

Hint: hypo/hyper

The mainstay of management for HHS is _____

_____ should be measured hourly for the first 6 hours during treatment of HHS to avoid sudden osmotic shifts (e.g. cerebral oedema or central pontine demyelination)

Hint: Investigation

Target HbA1c in T1DM is ≤_____ (may vary patient to patient)

The onset of _____ is days. The onset of DKA is <24hrs.

Hint: DKA/HHS

Capillary blood glucose and urinalysis _____ be use to make a diagnosis of diabetes mellitus

Hint: should/not

Lack of intracellular glucose for ATP production in DKA results in increased lipolysis which produces free fatty acids that are converted into _____

Children and young adults are vulnerable to _____ after fluid resuscitation for DKA and therefore require 1:1 nursing to monitor neuro-observations

Hint: complication