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Chapter: Clinical Cases in Anesthesia : Malignant Hyperthermia

Diabetes Mellitus

A 38-year-old woman is scheduled for an appendectomy.

DIABETES MELLITUS

 

A 38-year-old woman is scheduled for an appendectomy. Blood chemistries include sodium 152 mEq/L, potassium 3.1 mEq/L, carbon dioxide 16 mEq/L, blood urea nitrogen (BUN) 67 mg/dL, and glucose 454.0 mg/dL.

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Clinical Cases in Anesthesia : Malignant Hyperthermia : Diabetes Mellitus |

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Clinical Cases in Anesthesia : Malignant Hyperthermia
Malignant Hyperthermia
What is malignant hyperthermia (MH)?
How is susceptibility to MH inherited?
What is the pathophysiology of MH?
What characterizes a clinical episode of MH?
Outline the pharmacology of dantrolene
How is MH treated?
How are patients with known MH susceptibility treated?
What are the recognized triggering agents?
What is the significance of masseter muscle rigidity (MMR)?
How is MH definitively diagnosed?
Describe the neurolept malignant syndrome
Diabetes Mellitus
Distinguish among the major types of diabetes mellitus (DM)
Summarize the physiologic effects of insulin
Describe the oral hypoglycemic agents and insulin preparations available to treat DM
How does DM affect perioperative morbidity and mortality?
What are the common causes and associated symptoms of hypoglycemia?
Outline perioperative management alternatives for the diabetic patient
Explain the acute complications of DM


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