A 61-year-old female with congestive heart failure and type 2 diabetes is brought to the emergency room by her husband because of an altered mental status. He states he normally helps her be compliant with her medications, but he had been away for several days. On physical exam, her temperature is 37.2 C, BP 85/55, and HR 130. Serum glucose is 500 mg/dL. Which of the following is the first step in the management of this patient?
AIV ½ NS
BIV insulin
CSubcutaneous insulin injection
DIV NS
EIV D5W
An otherwise healthy 14-year-old girl is brought to the emergency room by her father because of excessive thirst, excessive urination, and weight loss. Her symptoms started acutely 5 days ago. Vital signs reveal a temperature of 36.6°C (97.8°F), blood pressure of 100/65 mm Hg, and pulse of 105/min. Physical examination shows a thin girl with dry mucous membranes but normal skin turgor. Laboratory results are shown: Random blood sugar 410 mg/dL C-peptide undetectable Serum beta-hydroxybutyrate negative Which of the following is the best initial therapy for this patient?
AMetformin
BGlimepiride
CPramlintide
DBasal-bolus insulin
EIntravenous fluids, insulin infusion, and correction of electrolytes
A 35-year-old woman is started on a new experimental intravenous drug X. In order to make sure that she is able to take this drug safely, the physician in charge of her care calculates the appropriate doses to give to this patient. Data on the properties of drug X from a subject with a similar body composition to the patient is provided below: Weight: 100 kg Dose provided: 1500 mg Serum concentration 15 mg/dL Bioavailability: 1 If the patient has a weight of 60 kg and the target serum concentration is 10 mg/dL, which of the following best represents the loading dose of drug X that should be given to this patient?
A300 mg
B450 mg
C150 mg
D1000 mg
E600 mg
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