198 results
Causes of Prolonged Emergence - Anesthesiology

Prolonged Drug Action:
• Overdose 
• Hypothermia (< 33 C) 
• Incr
endocrine • Hypoglycemia ... / hyperglycemia ... HONK / diabetic ketoacidosis
Pathophysiology of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Syndrome (HHS)
Absolute Insulin deficit:
 - Type I DM:
Pathophysiology of Diabetic Ketoacidosis ... (DKA) and Hyperglycemic ... food binges, etc Hyperglycemia ... diabetes #diabetic #ketoacidosis ... #hyperglycemic
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
In Alcoholic Ketoacidosis ... also present with Hypoglycemia ... If Hyperglycemic ... you risk causing Hypoglycemia ... leads to severe ketoacidosis
Assessment of diabetic control:
 - Any episodes of hypoglycaemia, diabetic ketoacidosis, hospital admission? 
 - Is
Any episodes of hypoglycaemia ... , diabetic ketoacidosis ... still awareness of hypoglycaemia
Hypoglycemia - Evaluation Algorithm
Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
Hypoglycemia - Evaluation ... Interpreting Hypoglycemia ... patient must be hypoglycemic ... Insulin Oral Hypoglycemic ... → Oral Hypoglycemic
Hypoglycemia Differential Diagnosis and Management Algorithm

Features of hypoglycemia:
 • Neurogenic: Tremor, Palpitations, Anxiety, Arousal, Sweating, Hunger,
Hypoglycemia Differential ... Features of hypoglycemia ... Coma Suspected Hypoglycemia ... labs during a hypoglycemic ... MatthewHoMD #Hypoglycemia
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
Differential Diagnosis of Hypoglycemia ... Evaluation of Hypoglycemia ... Diagnosis #EM #IM #Hypoglycemia ... Malignancy #Exogenous #Hypoglycemic
Summary of dosing recommendations in renal impairment of commonly used hypoglycaemic agents

#Diabetes #Diabetic #Medications #Pharmacology #Dosing
commonly used hypoglycaemic ... CKD #Table #GFR #Hypoglycemics
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
Hypoglycemia Workup ... demand causes hypoglycemia ... fast to trigger hypoglycemic ... Medicine @SCVMCMed #Hypoglycemia
Toxic Alcohol Ingestion: Clinical Features, Diagnosis, and Management
Methanol intoxication:
 • Accidental or intentional ingestion of adulterated
HAGA Alcoholic ketoacidosis ... increase with H2O2; hypoglycemia