20 Questions
Which condition is associated with diabetes?
Peripheral neuropathy
What medication is often given to diabetic patients even without hypertension?
Angiotensin-converting enzyme (ACE) inhibitors
What is the importance of assessing the potential end-organ effects of diabetes preoperatively?
It helps determine the patient's overall metabolic status
What is a possible consequence of autonomic neuropathy in diabetic patients?
Gastroparesis
What symptoms may indicate autonomic neuropathy in diabetic patients?
Irregular pulse rate with inspiration
What is a potential cause of sudden cardiorespiratory arrest in diabetic patients with autonomic neuropathy?
Painless myocardial ischemia
What medication may be administered preoperatively to facilitate gastric emptying in diabetic patients?
Metoclopramide
What can interfere with respiration or sinus automaticity in diabetic patients with autonomic neuropathy?
Pneumonia
What is the likely precipitating cause of most cases of sudden cardiorespiratory arrest in diabetic patients with autonomic neuropathy?
All of the above
What is the importance of the postoperative period for diabetic patients with autonomic neuropathy?
It is crucial to survival
Which of the following is a characteristic of patients with autonomic neuropathy?
Postural hypertension with a decrease in arterial blood pressure of more than 30 mm Hg
What is the normal difference between the maximum and minimum heart rate on deep inspiration?
15 beats/min
Which of the following is true about diabetic patients with autonomic neuropathy?
They may require continuous cardiac and respiratory monitoring postoperatively
What is the significance of measuring the degree of sinus arrhythmia or beat-to-beat variability?
It is a test for significant autonomic neuropathy
What is the difference between the maximum and minimum heart rate on deep inspiration in patients who subsequently sustain cardiorespiratory arrest?
5 beats/min or less
Which of the following is not a characteristic of patients with autonomic neuropathy?
No difference in heart rate on deep inspiration
What is the recommended type of surgery for a diabetic patient without autonomic neuropathy?
Outpatient surgery
What is the difference in arterial blood pressure during postural hypotension in patients with autonomic neuropathy?
More than 30 mm Hg decrease
What is a potential consequence of autonomic neuropathy in diabetic patients?
Impaired respiratory responses to hypoxia
What is the recommended duration of continuous cardiac and respiratory monitoring postoperatively for diabetic patients with autonomic neuropathy?
24 to 72 hours
Test your knowledge on other conditions associated with diabetes, including microangiopathy, peripheral neuropathy, autonomic dysfunction, and infection. Learn about the use of ACE inhibitors in diabetic patients and their role in preventing complications such as renal failure.
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