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</p> Signup and view all the answers

    What symptoms may indicate autonomic neuropathy in diabetic patients?

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

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

    <p>Metoclopramide</p> Signup and view all the answers

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

    <p>Pneumonia</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</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</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</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</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</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</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</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</p> Signup and view all the answers

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

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

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

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

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