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Old 07-20-2011
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Question Glucose ranging 53 to 312

A 37-year-old, otherwise healthy woman is intubated following a massive burn. On hospital day #2, she becomes febrile and is found to have a urinary tract infection. A fluoroquinolone is started. The following day her blood glucose measurements range from 54 to 312. What is likely responsible?
A. Adverse reaction to clindamycin
B. Adverse reaction to gatifloxacin
C. The patient is developing sepsis
D. The patient is an untreated diabetic
E. The patient is developing systemic inflammatory response syndrome
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Old 07-21-2011
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I think the answer is D
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Old 07-21-2011
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prob its e, prob cause i am thinkin that stress hormone raised the glu levels!
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Old 07-21-2011
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i think e or c but e is more attractive
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Old 07-21-2011
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Dysglycemia (both hyper- and hypoglycemia) is associated with gatifloxacin. Sepsis and untreated diabetes usually manifest as hyperglycemia alone, unless the patient is treated too aggressively with insulin, but there is no reason to suspect this given the question stem.
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