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241 Possible Causes for Hypoglycemia, Hypovolemic Shock

  • Acute Gastroenteritis

    ORT DEFINITION OF ORT FAILURE 1 emesis after Ondansetron Refusal to take from syringe/cup for 30 minutes HYPOGLYCEMIA Defined as glucose 70 in all ages Give 2mL/kg of D10W[] […] complications like extravasation and thrombophlebitis CON: Generally, when we write for accompanying fluids for the IV, we write “NS 20ml/kg”… this will do nothing for the child’s hypoglycemia[] Children less than 6 months and/or 8 kg, consult Attending Physician Relative Contraindications with Ondansetron Significant Hypoglycemia straight to IV Rehydration Minimal[]

  • Adrenal Insufficiency

    shock.[] Hypoglycemia occurred in three patients (10%) during the fasting day but not during the nonfasting day (P 0.23). Hypoglycemia was asymptomatic in two cases.[] The patient presented after birth with cardiopulmonary instability, hyponatremia, hyperkalemia, hypoglycemia and metabolic acidosis.[]

  • Addisonian Crisis

    Addison's Disease Acute adrenal crisis (Addisonian Crisis / Acute Adrenal Insufficiency) Hypovolemic Shock What are the symptoms of Addison’s disease and an adrenal crisis[] […] deficiency in cortisol production and this results in circulatory collapse and electrolyte imbalances hypotension, tachycardia, dehydration, hypovolemic shock, profound hypoglycemia[] This can cause patients to go into hypovolemic shock, which results in rapid and shallow breathing combined with an extremely fast but weak heart rate.[]

  • Autoimmune Adrenal Insufficiency

    shock.[] Initial laboratory values were notable for hyperkalemia of 9.3 mmol/L, hypoglycemia, hyponatremia, non-anion gap metabolic acidosis, mild peripheral eosinophilia, and random[] The patient exhibited hyponatremia (128 mEq/L), hypoglycemia (29 mg/dL), and a high thyroid-stimulating hormone (TSH) level (14.31 µIU/mL).[]

  • Addison's Disease

    Presumably, Addisonian crises prompted hypovolemic shock and blood transfusions, which were responsible for horizontal HIV infection.[] Orthostatic hypotension, fever, and hypoglycemia characterize acute adrenal crisis, whereas chronic primary adrenal insufficiency presents with a more insidious history of[] The chance of hypovolemic shock accompanying a crisis is greater in patients with primary Addison, lacking mineralocorticoids (case A).[]

  • Adrenal Insufficiency Secondary to Hypopituitarism

    shock.[] Chronic Secondary Adrenal Insufficiency Presenting as Recurrent Severe Hypoglycemia. Endocrinol Metab Int J 2(3): 00024.[] Patients end up with a whole host of problems, including hypotension (from the lack of mineralocorticoids) and hypoglycemia (from the lack of cortisol).[]

  • Adrenal Destruction

    shock Nausea/vomiting, abdominal pain, tenderness and guarding Diarrhea Anorexia, weight loss Confusion, somnolence In severe cases, delirium or coma Signs & Symptoms of[] Insulin-Induced Hypoglycemia Test: The insulin-induced hypoglycemia test is used to determine how the hypothalamus, pituitary and adrenal glands respond to stress.[] Although there are classic clinical signs (eg, fatigue, orthostatic hypotension, hyperpigmentation, hyponatremia, hyperkalemia, and hypoglycemia) of adrenal insufficiency,[]

  • Sinus Tachycardia

    In both the cases, patients may be unstable: In sinus tachycardia, due to untreated underlying cause like hypovolemic shock.[] It may be a response in order to increase cardiac output to compensate for hypovolemia, anemia, hypoxemia, hypoglycemia, fever, or sepsis.[]

  • Cardiac Arrest

    More than half of cardiac arrests in the hospital are the result of respiratory failure or hypovolemic shock, and the majority of these events are foreshadowed by changes[] Physicians typically review medications that cause hypoglycemia, but other medications may interfere with potassium homeostasis with administration of glucose.[] However, many of these studies were conducted during normal perfusion states or hypovolemic shock or in animal models of cardiac arrest.[]

  • Panhypopituitarism

    Hypoglycemia and cholestasis resolved with treatment of the underlying panhypopituitarism.[] Intriguingly, while the response of ACTH to CRH administration was exaggerated, the response to insulin hypoglycemia was blunted. Serum PRL levels were normal.[] She has behavioral troubles with autistic traits, intellectual disability, panhypopituitarism, severe hypoglycemia, epilepsy, and scoliosis.[]

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