kanis

Question 1

Effects of tight glucose control

Answer 1

• decreases complications and mortality in patients

Question 2

secondary hypeparathyroidism

Answer 2

• is do to a Normal response of parathyroid to low levels of calcium in and effort to maintain serum calcium within the normal range
• Secondary hyperparathyroidism is a normal response of the parathyroid to low calcium

Question 3

cause of Hypoparathyroidism

Answer 3

• injury/removal of parathyroid glands during neck surgery is most common cause of ACUTE or CHRONIC HYPOPARATHYROIDISM

Question 4

pts with primary hyperparathyroidism have symptoms secondary to what elevated electrolyte?

Answer 4

Calcium

Question 5

What is the best scan for localization of the parathyroid adenoma

Answer 5

Technitium-99m Sestamibi

Question 6

Meformin (Biguanides)

Answer 6

• STOP THE DAT OF SURGERY b/c of RISK OF LACTIC ACIDOSIS
• Biguanides (metformin)
• -> sensitize target tissue to insulin
• -> inhibit hepatic glucose production
• -> augments peripheral glucose uptake

Question 7

describe the goal of surgical patient care with diabetes

Answer 7

• achieve blood glucose control prior to surgery
• provide glucose as carbohydrate to inhibit proteolysis, lipolysis, and ketosis
• proide insulin when appropriate
• prevent hypoglycemia
• minimize protein catabolism
  (ALL OF THE ABOVE)*****