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  #1  
Old 03-01-2013
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Question Hypocalcemia with Metabolic acidosis

Patients labs shows Hypocalcemia with Metabolic acidosis. His oral mucosa is moist.
Next step in management?
a. Calcium gluconate
b. Sodium bicarboate
c. Normal saline
d. 5% dextrose
e. ETOH
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Old 03-01-2013
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I think it is B
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Default c

i think in fluids to correct dehydration...
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Old 03-02-2013
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Default c. Normal saline

c. Normal saline
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Quote:
Originally Posted by rupesh View Post
i think in fluids to correct dehydration...
His oral mucosa is moist.

Give it another try...........it's a very high yield concept question.
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Old 03-02-2013
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Quote:
Originally Posted by Novobiocin View Post
Patients labs shows Hypocalcemia with Metabolic acidosis. His oral mucosa is moist.
Next step in management?
a. Calcium gluconate
b. Sodium bicarboate
c. Normal saline
d. 5% dextrose
e. ETOH

A?

Metabolic acidosis -> potential hyperkalemia; In addition, acidosis should raise calcium, but the patient still has hypocalcemia.

Calcium gluconate -> protect the heart;
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Old 03-02-2013
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e. ETOH/fomepizole

Ethylene glycol intoxication.
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Old 03-02-2013
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Quote:
Originally Posted by Novobiocin View Post
Patients labs shows Hypocalcemia with Metabolic acidosis. His oral mucosa is moist.
Next step in management?
a. Calcium gluconate
b. Sodium bicarboate
c. Normal saline
d. 5% dextrose
e. ETOH
calcium gluconate

hypocalcemia ----->increased PTH----->HCO3 loss in PCT


S
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Originally Posted by neuromat View Post
e. ETOH/fomepizole

Ethylene glycol intoxication.

sounds reasonable!
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Early in the intoxication, the toxin is present as the parent compound, ethylene glycol. As time passes, toxic metabolites accumulate and the patient develops metabolic acidosis. Eventually, oxalate is deposited in the kidney and elsewhere; renal insufficiency may ensue. Once any of these manifestations occurs, antidotal therapy alone (used to block alcohol dehydrogenase with ethanol or fomepizole) is insufficient to treat the poisoning.
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Old 03-07-2013
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Quote:
Originally Posted by Novobiocin View Post
Patients labs shows Hypocalcemia with Metabolic acidosis. His oral mucosa is moist.
Next step in management?
a. Calcium gluconate
b. Sodium bicarboate
c. Normal saline
d. 5% dextrose
e. ETOH
i think it is A
the calcium gluconate will reduse the metabolic acidocis by reducing the potentialy hyperkalemia and at the same time increase the calcium

i hope it is right
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Old 03-08-2013
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Sodium bicarb?

What's the answer?
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