Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Board Review Questions: Kidney, Acid-Base Disorders, Electrolytes and Endocrine

Board Review Questions: Kidney, Acid-Base Disorders, Electrolytes and Endocrine

Video Transcription

Video Summary

Dr. Connor and I addressed renal and metabolic questions for a 65-year-old woman with hypertensive urgency and signs indicating pheochromocytoma. Initial management with a short-acting alpha blocker like doxazosin was recommended over options like furosemide or morphine.<br /><br />For a patient with elevated glucose after a TBI, it was noted that intensive insulin therapy increases hypoglycemic risks without improving mortality. Instead, maintaining glucose levels between 140-180 is preferred.<br /><br />A case of a 26-year-old IV drug user with AKI, elevated CK, and positive urine dipstick was managed with aggressive hydration using balanced crystalloids.<br /><br />A 34-year-old man with severe Cushing's was best managed with etomidate to rapidly reduce cortisol levels.<br /><br />Lastly, a septic patient benefitted from continued lactated Ringer’s solution for resuscitation, while an 18-year-old's alkalotic urine indicated type 1 RTA following a large ingestion of naproxen.

Meta Tag

Concept Pheochromocytoma

Concept Glycemic Control

Concept Rhabdomyolysis

Concept Dialysis

Concept Cushing Syndrome

Keywords

hypertensive urgency

pheochromocytoma

intensive insulin therapy

acute kidney injury

Cushing's syndrome

type 1 RTA

Pheochromocytoma

Glycemic Control

Rhabdomyolysis

Dialysis

Cushing Syndrome

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