0 of 9 questions completed
You have already completed the exam before. Hence you can not start it again.
Exam is loading…
You must sign in or sign up to start the exam.
You must first complete the following:
Time has elapsed
You will need to meet or exceed the 80% pass mark to obtain a certificate. Save the module to log it in your CPD Diary.
Enter your course reflection:
Enter your course outcomes:
What does insulin induce?
In DKA which of the following has to be present for the diagnosis to be made?
In a patient with DKA which of the following is true?
Which of the following is the most common presenting complaint in a patient with DKA?
Which of the following drugs will NOT precipitate DKA?
In a patient who has been diagnosed with DKA, the following blood gas is done:
pCO2 2.4 kPa
Ionised Calcium 1.2mmol/L
The patient is already on oxygen and has 1L of normal saline prescribed.
What is the most appropriate next step in the management of this patient?
In DKA what is the prime cause for the change in pH?
A 36-year-old male with type I diabetes, presents with a productive cough, green sputum and feeling generally unwell. Examination reveals a temperature of 38 degrees Celsius, a respiratory rate of 26 breaths/minute, pulse of 110 beats/minute. CXR demonstrates a left lower lobe pneumonia and the blood sugar is 28mmol/L.
ABG is done on air
pCO2 2.8 kPa,
pO2 11.2 kPa
Base excess 10
He is treated initially with IV Augmentin 1.2g, IV insulin on a sliding scale and 2L of normal saline over 2 hours.
You are asked to review him 2 hours after treatment was initiated as he has twitching movements on the right side of the body and a GCS of 9/15.
What is the most likely diagnosis for his deterioration?
A patient with DKA is being treated with 0.1 u/kg/hr IV insulin infusion.
The blood sugar however is not decreasing.
What would be the next most appropriate step to take?