Sample interview questions: Can you explain your understanding of emergency pediatric metabolic emergencies?
Sample answer:
- Diabetic Ketoacidosis (DKA):
- Understand the pathophysiology of DKA, including hyperglycemia, ketonemia, and metabolic acidosis.
- Recognize clinical manifestations: dehydration, Kussmaul respirations, fruity breath, and altered mental status.
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Administer intravenous fluids, insulin, and monitor blood glucose levels.
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Hyperglycemic Hyperosmolar State (HHS):
- Comprehend the pathophysiology of HHS, including severe hyperglycemia and hyperosmolarity.
- Identify clinical signs: dehydration, altered mental status, and lack of ketosis.
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Provide intravenous fluids, insulin, and monitor blood glucose levels.
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Hypoglycemia:
- Grasp the pathophysiology of hypoglycemia: a deficiency of glucose in the blood.
- Recognize symptoms: confusion, seizures, and loss of consciousness.
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Administer dextrose solution intravenously or orally if conscious.
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Hypocalcemia:
- Comprehend the causes of hypocalcemia, such as sepsis, hypoparathyroidism, or vitamin D deficiency.
- Identify symptoms: seizures, tetany, and cardiac arrhythmias.
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Administer calcium gluconate or calcium chloride intravenously.
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Hypomagnesemia:
- Understand the pathophysiology of hypomagnesemia, including malabsorption, diuretics, or alcoholism.
- Recognize clinical manifestations: tremors, seizures, and tetany.
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Provide intravenous … Read full answer
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