robin082006
Forum Hero
Topics: 471
Posts: 5,123
|
(E) best initial therapeutic response with large volumes of free water and large doses of insulin
___________________
The Key to Succeed is Patience.
|
| dr in trouble
Forum Guru
Topics: 62
Posts: 610
|
it is E.
___________________
If u want to do something, do it today as there is no tomorrow.
|
| zaidsuror
Forum Elite
Topics: 61
Posts: 238
|
E
___________________
footsteps on the sands of time are not made by sitting around.
|
| leen
Forum Guru
Topics: 79
Posts: 294
|
Gus I got t his q from some other forum ..the right ans is C ...
Icant get why not D?
|
| new_n_lost
Forum Hero
Topics: 724
Posts: 6,390
|
Here r my 2 cents.
The Choice C
The only thing which might go Against E is that large doses of Insulin Hyperosmolar Coma, Cos a Larger dose of Insulin might induce Hypoglycemia n Hypokalemia. There is a chance of ARDS in rapid Correction of Disease.
According to the nomenclature of the American Diabetes Association, the term hyperosmolar nonketotic state (HNS) is preferred to denote an acute metabolic complication of diabetes mellitus (DM) characterized by impaired mental status (MS) and elevated plasma osmolality in a patient with hyperglycemia. Criteria for HNS include serum osmolality of 320 mOsm/kg, plasma glucose level greater than 600 mg/dL (>33.3 mmol/L), profound dehydration, no ketoacidosis, pH of 7.3, HCO3- greater than 15 mEq/L, and the absence of severe ketosis.
Vascular complications: The severe dehydration of HNS leads to hypotension and hyperviscosity of the blood, both of which predispose patients to thromboembolic disease of the coronary, cerebral, pulmonary, and mesenteric beds. Disseminated intravascular coagulation also may complicate HNS. Together, these vascular syndromes account for much of the morbidity and mortality in HNS. Low-dose subcutaneous heparin is advisable for all patients without a contraindication.
Edited by new_n_lost on 03/11/07 - 06:58 PM
___________________
"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| Luckyall
Forum Guru
Topics: 11
Posts: 592
|
I'd go with C
|
| NE
Forum Guru
Topics: 53
Posts: 504
|
C
Coagulation abnormalities in hyperosmolar coma:
-high level of factor VIII activity
-increase fibrin degradation products
- shorter partial thromboplastin time
- decreases antithrombin III.
Mechanism of DIC? - Possible endothelial damage.
|
| ed222
Forum Senior
Topics: 4
Posts: 147
|
But the question mention the common characteristic not a characteristic complication, many times we treat the patient before the complication appears.
|
| Adam
Forum Senior
Topics: 6
Posts: 136
|
I found E. more suitable.. ??
___________________
I will not say I failed 1000 times.. I will say that I discovered there are 1000 ways that can cause failure ..
|
| prathapdoctor
Forum Elite
Topics: 12
Posts: 406
|
E looks apt.
|
|
| |
| | | | | | | | | | |
Similar forum topics