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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[chop.edu] […] 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[pedemmorsels.com] Children less than 6 months and/or 8 kg, consult Attending Physician Relative Contraindications with Ondansetron Significant Hypoglycemia straight to IV Rehydration Minimal[chop.edu]

  • Adrenal Insufficiency

    shock.[amboss.com] 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.[ncbi.nlm.nih.gov] The patient presented after birth with cardiopulmonary instability, hyponatremia, hyperkalemia, hypoglycemia and metabolic acidosis.[ncbi.nlm.nih.gov]

  • 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[mymed.com] […] deficiency in cortisol production and this results in circulatory collapse and electrolyte imbalances hypotension, tachycardia, dehydration, hypovolemic shock, profound hypoglycemia[quizlet.com] 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.[livestrong.com]

  • Autoimmune Adrenal Insufficiency

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

  • Addison's Disease

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

  • Adrenal Insufficiency Secondary to Hypopituitarism

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

  • 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[specialty.mims.com] Insulin-Induced Hypoglycemia Test: The insulin-induced hypoglycemia test is used to determine how the hypothalamus, pituitary and adrenal glands respond to stress.[ucsfhealth.org] Although there are classic clinical signs (eg, fatigue, orthostatic hypotension, hyperpigmentation, hyponatremia, hyperkalemia, and hypoglycemia) of adrenal insufficiency,[ncbi.nlm.nih.gov]

  • Sinus Tachycardia

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

  • 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[dx.doi.org] Physicians typically review medications that cause hypoglycemia, but other medications may interfere with potassium homeostasis with administration of glucose.[ncbi.nlm.nih.gov] However, many of these studies were conducted during normal perfusion states or hypovolemic shock or in animal models of cardiac arrest.[doi.org]

  • Panhypopituitarism

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

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