By Michael T. McDermott MD
The recent, fifth variation of Endocrine secrets and techniques, by way of Michael McDermott, MD, maintains the culture of the hugely renowned secrets and techniques Series?®. A two-color web page format, question-and-answer strategy, and bankruptcy containing the "Top a hundred secrets and techniques" provide a brief and present assessment of crucial wisdom in endocrinology. Updates all through equip you with state of the art insurance, whereas new participants current the most recent views. A wealth of simple features-including useful pearls, advice, and reminiscence aids-help you to benefit extra successfully. all of it provides as much as the ideal concise board evaluate or convenient scientific resource.Provides pearls, information, and reminiscence aids that assist you study extra efficiently.Expedites reference and evaluation with a question-and-answer structure, bulleted lists, mnemonics, and assistance from the authors. contains a bankruptcy containing the "Top a hundred secrets and techniques" in endocrinology, allowing you to speedy overview crucial fabric. makes use of a two-color web page structure that makes reference more straightforward. encompasses a handy pocket measurement for simple entry to key information.Features updates all through to supply you with a present evaluate of the sphere of endocrinology.Includes the contributions of latest authors who current the newest views.
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Extra resources for Endocrine Secrets, 5th Edition
Example text
Walsh J, Roberts R: Using Insulin. San Diego, Torrey Pines Press, 2003. Sarah V. Bull CHAPTER 4 INPATIENT MANAGEMENT OF DIABETES AND HYPERGLYCEMIA 1. Does evidence support intensive management of blood glucose in the hospital setting? The correlation between hyperglycemia and adverse outcomes in hospital inpatients has been well demonstrated. Although somewhat controversial, the data suggest that elevated blood glucose (BG) levels in general medicine and surgical patients, cardiac patients, and critically ill patients lead to an increase in mortality and morbidity.
Discuss the use of the various oral agents in the hospital setting. & Sulfonylureas: These drugs are long-acting medications metabolized by the kidney and liver that have significant potential for causing hypoglycemia in hospitalized patients who are eating erratically. Of note, glipizide is associated with less hypoglycemia than glyburide in patients with renal insufficiency. & Metformin: There is a risk of lactic acidosis when this agent is used in patients with hypoperfusion, renal insufficiency, congestive heart failure, hypoxemia, or chronic lung diseases.
5. Supplemental bolus insulin reduces the BG to within normal limits when a high glucose correction factor is used. 34. Calculate an initial basal rate for insulin pump therapy. & An established C:I ratio and CF on MDI is critical for a smooth transition to pump therapy. & To calculate an initial basal rate, take the current TDD of insulin on MDI and reduce it by 25% (or other appropriate reduction, depending on current hemoglobin A1C and number of hypoglycemic episodes). & Use 50% of the reduced dose as the total basal dose to be given over 24 hours.