Tarquin - DKA (Acute Presentation)

Question 1

Ordinarily --1-- are/is used by tissues as an --2-- source to regenerate --3--

Accepted Answer

--1--. ketones. --2--. energy. --3--. bicarbonate

Question 2

In the first six hours of treatment how often do you monitor capillary glucose levels?

Accepted Answer

Hourly

Question 3

The five key clinical manifestations of Type 1 Diabetes are?

Accepted Answer

Polydipsia, Polyuria, Polyphagia, Weight Loss, Fatigue

Question 4

Serum potassium may appear normal or elevated because of volume concentration and?

Accepted Answer

a shift of potassium out of the cell and into the blood

Question 5

How often will you monitor Tarquin's urine output

Accepted Answer

1 hourly

Question 6

The appearance of endometrial tissue outside the uterus is known as?

Accepted Answer

Endometriosis

Question 7

Tarquin weighed 86kgs. Her insulin order was 0.1u/kg/hr. How many u/hr did she require?

Accepted Answer

8.6 units/hour

Question 8

You are required to give 500mls of N/S over 10mins. What will you set the IV pump to

Accepted Answer

3000mls/hr

Question 9

My confidence to manage a patient presenting with DKA has

Accepted Answer

increased, decreased, remained the same, increased but I need to continue to progress my knowledge

Question 10

Diabetic Ketoacidosis (DKA) develops when there is?

Accepted Answer

an absolute or relative deficiency of insulin

Question 11

Why does a patient present with emesis when they have a diagnosis of DKA?

Accepted Answer

The body attempts to lower acidosis by triggering the CTZ

Question 12

The following three indicators suggest a diagnosis of DKA

Accepted Answer

BGL > 11. Urine Ketones ++. pH < 7.3 or HCO3 < 15

Question 13

Infusion (50 units of Actrapid in 50mls N/S). Required 8.6 units/hr. How many mls/hr?

Accepted Answer

8.6 mls/hour

Question 14

Kussmaul Respirations are said to be present when?

Accepted Answer

Respirations are deep and sighing

Question 15

Lithium Carbonate is used for

Accepted Answer

Treatment of Mania, hypomania, bipolar

Question 16

Bipolar Affective Disorder is characterised by

Accepted Answer

any of the above

Question 17

Acidosis is when?

Accepted Answer

Blood pH < 7.35

Question 18

Which acidosis was occurring for Tarquin: Her admission ABG was: pH 7.19. pCO2 20. HCO3 7.5

Accepted Answer

Metabolic Acidosis

Question 19

Citalopram is a

Accepted Answer

selective serotonin reuptake inhibitor (SSRI)

Question 20

What symptom results when H2O is osmotically attracted from cells R/I intracellular dehydration

Accepted Answer

Polydipsia = hypothalamic simulation of thirst

Questions 20