Hypocalcium
Hypoglycemia
Thyrotoxicosis
Adrenal Crisis
DKA
100

Symptoms of hypocalcemia

What is jitteriness, confusion, poor appetite/vomiting, seizure, apneic episodes, tetany, or laryngospasms?

100
Name one symptoms of hypogylcemia

What is sweaty, clammy, shaky and jittery?

100

Definition of a thyroid storm

What is a life-threatening health condition where an individual's heart rate, blood pressure, and body temperature can soar to dangerously high levels?

100

Symptoms of Adrenal Crisis


• Rapid, dramatic clinical deterioration

• Vomiting

• Hemodynamic instability

• Cardiorespiratory distress

• Hypotension/shock

100
Rapid, deep, labored breathing
What is Kussmaul respirations?
200

Twitching of the facial muscles in response to tapping over the area of the facial nerve. 

What is Chvostek sign?

200
Definition of hypogylcemia

What is Blood sugar below 50 in infant/child?

200
Scale used to evaluate level of thyroid storm 

What is Burch and Wartofsky scoring system?

200
Must be done before treatment

What is draw a cortisol level? 

200
What fluid given during resuscitation
What is Normal Saline?
300

Carpopedal spasm caused by inflating the blood-pressure cuff to a level above systolic pressure for 3 minutes

What is Trousseau sign?

300

D10% 5-10 ml/kg or D25% 2-4ml/kg

What is D10% 5-10 ml/kg or D25% 2-4ml/kg?

300
Two labs that must be run stat, but are not a critical sample in a treatment sense 
What is TSH and Free T4?
300

 Initial treatment for adrenal crisis


What is normal saline bolus: 20ml/kg IV or IO

Hydrocortisone 50-100 mg/m2 IV bolus followed by 50 mg/m2/day, divided q6h 

If no IV access, SoluCortef IM or Dexamethasone IM

300
Never given in the first hour of treatment
What is Insulin?
400

Critical sample that must be drawn before treatment?

What is calcium, phosphorus, magnesium and iPTH?
400
This must be done prior to treatment
What is obtain blood sample?
400

Treatment for a thyroid storm



What is 

oxygen

adrenergic blockade (if not in CHF) - goal HR<100

Propranolol (PO 2mg/kg/day div Q6-8 hrs or IV 0.01mg/kg/dose (max 5mg) over 10-15 min)

If contraindication to propranolol (ie asthma), can use atenolol (cardioselective) with caution

IV fluids (cooled if necessary)

Cooling blankets

Antipyretics should be avoided when possible

Sedation – phenobarbital stimulated thyroid hormone clearance

Hemodynamic support/treat CHF if present

400

Diagnoses with primary adrenal insufficiency (adrenal gland is broken)


What is congenital adrenal hyperplasia, addison’s disease (autoimmune adrenal failure), and adrenoleukodystrophy?

400
Most common cause of death during DKA
What is cerebral edema?
500

Acute treatment of symptomatic hypocalcemia 





What is slow (<1 ml/min) IV infusion 10% Ca gluconate 1 ml/kg or 100 mg/ml Ca Gluconate = 9 mg/ml elemental Ca

500

5.3 per 1000 live births in Alaska Natives vs. 1.3 per 1000 live births in all Alaskans have this

What is CPT-1a?
500
DOUBLE JEOPARDY!!!!!

Chris Kyper's middle name

What is Marjorie?
500
Given during times of illness 
What is stress dosing?
500

Name one or more interventions to lessen or prevent cerebral edema

What is monitor neuro closely, avoid excessive fluids, avoid use of sodium bicarbonate, early recognition of DKA and proper management?

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