Chapter 17: Fluids and Electrolytes- Hyperglycemia

Question 1

What are the surgical causes?

Answer 1

• Diabetes (poor control)
• infection
• stress
• TPN
• drugs
• lab error
• drawing over IVsite
• somatostatinoma
• glucagonoma

Question 2

What are the signs/symptoms?

Answer 2

• Polyuria
• hypovolemia
• confusion/coma
• polydipsia
• ileus
• DKA (Kussmaul breathing)
• abdominal pain
• hyporeflexia

Question 3

What is the treatment?

Answer 3

Insulin

Question 4

What is the Weiss protocol?

Answer 4

Sliding scale insulin

Question 5

What is the goal glucose level in the ICU?

Answer 5

80 to 110 mg/dL