1. Question on Hyperglycemic crisis
A.Main manifestations of DKA are the following except
1. Dehydration
2. Hypotension
3. Acidotic breathing
4. Convulsion
B.Recommended lab tests in DKA with ischemic heart disease except
1.Random sugar
2. Urine for sugar and acetone
3. Arterial Blood Gas ABG
4.Serum electrolytes
5. ECG and Cardiac enzymes, troponin
6. Plasma electrophoresis
C. Main line of treatment in DKA in Old age patient with cardiac decompensation
and oliguria except
1. Monitoring, CVP
2. Oxygen therapy
3. Assessment renal out put
4. Rapid rehydration
5. Insulin infusion pump
6. Heparinization
D. In DKA with Initial Hypokalemia the following is recommended except
1. Fluid Replacement
2. Immediate K replacement
3. Early Insulin infusion
4. Post pone early insulin infusion
E. In Hyperglycemic Crisis associated with Deep coma and severe acidosis and
severe repeated vomiting the Initial priority is
1. Antiemetic
2. Correct fluid and electrolyte
3. Correct acidosis by Bicarbonate infusion
4..Indwelling catheter
5. Nasogastric tube and patent clean airway
F. The most common complication happened during the course of
treatment of hyperglycemic crisis is
1. Convulsion
2. Hypoglycemia
3. Thrombophlebitis
4. Urinary tract infection
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