32.Other Conditions Associated With Diabetes
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Questions and Answers

Which condition is associated with diabetes?

  • Hypertension
  • Peripheral neuropathy (correct)
  • Asthma
  • Migraine

What medication is often given to diabetic patients even without hypertension?

  • Angiotensin-converting enzyme (ACE) inhibitors (correct)
  • Antidepressants
  • Beta blockers
  • Antihistamines

What is the importance of assessing the potential end-organ effects of diabetes preoperatively?

  • It is only important for diabetic patients with hypertension
  • It is not important
  • It helps determine the patient's overall metabolic status (correct)
  • It helps prevent microangiopathy

What is a possible consequence of autonomic neuropathy in diabetic patients?

<p>Gastroparesis (B)</p> Signup and view all the answers

What symptoms may indicate autonomic neuropathy in diabetic patients?

<p>Irregular pulse rate with inspiration (C)</p> Signup and view all the answers

What is a potential cause of sudden cardiorespiratory arrest in diabetic patients with autonomic neuropathy?

<p>Painless myocardial ischemia (D)</p> Signup and view all the answers

What medication may be administered preoperatively to facilitate gastric emptying in diabetic patients?

<p>Metoclopramide (A)</p> Signup and view all the answers

What can interfere with respiration or sinus automaticity in diabetic patients with autonomic neuropathy?

<p>Pneumonia (A)</p> Signup and view all the answers

What is the likely precipitating cause of most cases of sudden cardiorespiratory arrest in diabetic patients with autonomic neuropathy?

<p>All of the above (D)</p> Signup and view all the answers

What is the importance of the postoperative period for diabetic patients with autonomic neuropathy?

<p>It is crucial to survival (C)</p> Signup and view all the answers

Which of the following is a characteristic of patients with autonomic neuropathy?

<p>Postural hypertension with a decrease in arterial blood pressure of more than 30 mm Hg (C)</p> Signup and view all the answers

What is the normal difference between the maximum and minimum heart rate on deep inspiration?

<p>15 beats/min (B)</p> Signup and view all the answers

Which of the following is true about diabetic patients with autonomic neuropathy?

<p>They may require continuous cardiac and respiratory monitoring postoperatively (B)</p> Signup and view all the answers

What is the significance of measuring the degree of sinus arrhythmia or beat-to-beat variability?

<p>It is a test for significant autonomic neuropathy (C)</p> Signup and view all the answers

What is the difference between the maximum and minimum heart rate on deep inspiration in patients who subsequently sustain cardiorespiratory arrest?

<p>5 beats/min or less (C)</p> Signup and view all the answers

Which of the following is not a characteristic of patients with autonomic neuropathy?

<p>No difference in heart rate on deep inspiration (D)</p> Signup and view all the answers

What is the recommended type of surgery for a diabetic patient without autonomic neuropathy?

<p>Outpatient surgery (B)</p> Signup and view all the answers

What is the difference in arterial blood pressure during postural hypotension in patients with autonomic neuropathy?

<p>More than 30 mm Hg decrease (B)</p> Signup and view all the answers

What is a potential consequence of autonomic neuropathy in diabetic patients?

<p>Impaired respiratory responses to hypoxia (D)</p> Signup and view all the answers

What is the recommended duration of continuous cardiac and respiratory monitoring postoperatively for diabetic patients with autonomic neuropathy?

<p>24 to 72 hours (D)</p> Signup and view all the answers

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