Sample interview questions: How do you handle patients with diabetes during anesthesia?
Sample answer:
- Preoperative Assessment:
- Thoroughly assess the patient’s glycemic control, including HbA1c levels, fasting and random blood glucose levels, and any history of diabetic complications.
- Review the patient’s current medications, especially insulin and oral hypoglycemic agents, and their timing in relation to the surgery.
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Optimize glycemic control before surgery, if possible, by adjusting medications or providing insulin therapy.
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Intraoperative Management:
- Establish intravenous access and monitor blood glucose levels frequently, ideally every 30-60 minutes.
- Administer insulin or glucose infusions as needed to maintain blood glucose levels within a target range of 100-180 mg/dL.
- Be cautious with the use of medications that can interfere with glycemic control, such as steroids or vasopressors.
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Monitor for signs and symptoms of hypoglycemia or hyperglycemia and tr… Read full answer
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