asmi
Forum Hero
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Hi,
Can anybody answer these two question:
Immediate management of a comatose hypoglycemic pt...
A) have pt. drink orange juice
B) IV infusion of 50% glucose solution
c) glucagon infusion(sc or IM)
D) B and C
E) A,B,c
Tight glycemic control is recommended:
A) elderly
B) pt with advanced disease
C) child under age 7 yrs
D) pregnant women
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| mjl1717
Forum Hero
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1) b- pt may have used up his glycogen or blocked glycogenolysis withRx
2) b
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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Hi,
The answer to 1 question is E
For the second question,the answer is pregnancy.
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| Ouli Maty
Forum Elite
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A patient in a coma cannot and will not drink orange juice or he is at risque of having the orange juice in his lungs.
Answer is B.
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deep breathing...
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| oddissy4u
Forum Guru
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answer to both ques is d.
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| manjunath_hari
Forum Newbie
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the answer to the first one is iv 50%dextrose but if not able to get iv acess then im/sc glucagon but in a comatose i think both should be tried
the answer to the second is pregnany as poor glyceamic control will definately harm the metabolism of the fetus and as u know will lead to fetal macrosomia
hope i,m correct
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| Ouli Maty
Forum Elite
Topics: 33
Posts: 275
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You are right, D is more correct for Q1.
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deep breathing...
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| mjl1717
Forum Hero
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Posts: 5,463
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Id like to how a comatose pt drinks Juice
also my mistake macrosomia ,macrosomia !
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| dr arthros
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answers to both questions are d
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| neevyg
Forum Junior
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woah! i'd like to know how u can give both gluc im/sc n' also 50% gluc.....it's one or the other.....
both managments are correct but u kant hav both, kan u? some1 explain
orange juice is out of question...comatose...
as for tight glycemic control...i agree, pregnant women
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| neevyg
Forum Junior
Topics: 15
Posts: 68
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okay, the ans. is B....checked out harrison's...my bible....heheh
if pt's condit is serious : confusion/coma then u give gluc inf... up until the point he kan swallow
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