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question1 victory1 - prayforthebest
#1
Hi guys I am sending you remebered question some might
be imcomplete...just an idea about topic...gl
1. Which of the following is correct regarding
Wernikes Encephalopathy :

-Often develops into Korsakof's even when treated

-It has a mortality rate of 70 % to 80 % if untreated

-The treatment is thiamine 100 mg. PO daily for 5 days


-The symptoms include Nistagmus ataxia and
opisthotonos

-None of the above *

American Family Physicain

http://www.findarticles.com/p/articles/m...20749/pg_5

Look at the last line
The response of Wernicke's encephalopathy to supplemental thiamine, with adequate magnesium, is remarkable. The nystagmus and ophthalmoplegia typically respond within one to three hours after thiamine administration, although in some patients these symptoms may persist indefinitely. Recovery from ataxia, usually without residual symptoms, occurs in one to six days. If the ataxic symptoms persist beyond six days, a residual deficit is likely to remain. The global confusion associated with Wernicke's encephalopathy typically resolves in one to six weeks, with up to 80 percent of these patients developing Korsakoff's psychosis. [17]

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#2
Thanks prayforthebest..we appreciate your effort.
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#3
5. Pt. with known type II DM. treated with
Clorpropamide present to ED in comma .. blood sugar =
1 mmol / L. .. you give the Pt 1 ampule of D50W & the
Pt wakes up promptley . what is the next appropriate
management :

-Give another ampule then discharge.

-Give 2 ampules then discharge.

-Give another ampule then observe the pt for 6 h. in
the ED.

-Give one more ampule , admit the Pt. & start IV.
Glucose Infusion with frequent ongoing glucose
measurement

Marx: Rosen's Emergency Medicine: Concepts and Clinical Practice, 6th ed
Overdoses of oral hypoglycemic agents pose special problems because the hypoglycemia induced tends to be prolonged and severe. The hypoglycemia may be delayed in onset by as much as 24 hours and may recur more than 72 hours later. Chlorpropamide is particularly troublesome in this respect. Thus, patients with overdose of oral hypoglycemic agents should have a minimum observation period of 24 hours and more if hypoglycemia is recurrent. Patients with overdose of oral hypoglycemic agents often require constant infusion of D10W to maintain a normal serum glucose.

so ans should be d
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#4
thanks veronica92 for the word of thanks. really appreciate it.
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