A 68-year-old female with a history of type 2 diabetes mellitus is admitted to the ICU with pancreatitis. Her ICU course is notable for vasodilatory shock requiring vasopressors, respiratory failure requiring mechanical ventilation, renal failure requiring renal replacement therapy, and multiple episodes of hypoglycemia (blood glucose <80 mg/dL). TRUE statements include:
A. Hypoglycemia is a cause of mortality in critically ill patients Wrong Choice!
B. ICU length of stay is not associated with the incidence of hypoglycemia Wrong Choice!
C. Patients with hypoglycemia have an increased risk for death from vasodilatory shock Correct Choice
D. A history of well-controlled diabetes (preadmission Hgb A1c level <6.5) is associated with increased risk of hypoglycemia Wrong Choice!
Answer:C
A 68-year-old female with a history of type 2 diabetes mellitus is admitted to the ICU with pancreatitis. Her ICU course is notable for vasodilatory shock requiring vasopressors, respiratory failure requiring mechanical ventilation, renal failure requiring renal replacement therapy, and multiple episodes of hypoglycemia (blood glucose <80 mg/dL). TRUE statements include:
A. Hypoglycemia is a cause of mortality in critically ill patients Wrong Choice! B. ICU length of stay is not associated with the incidence of hypoglycemia Wrong Choice! C. Patients with hypoglycemia have an increased risk for death from vasodilatory shock Correct Choice D. A history of well-controlled diabetes (preadmission Hgb A1c level <6.5) is associated with increased risk of hypoglycemia Wrong Choice!