A 56yo male who presented with epilepsy like symptoms has been dx
with an intracranial space occupying lesion. He now complains of thirst
and mild dehydration. His blood glucose is also increased. What is the
single most appropriate immediate tx?
a. Insulin
b. IV fluids
c. Stop dexamethasone
d. Stop sodium valproate and change to another anti-epileptic
answer: A
Clue 1:
Epilepsy was do to edema > the management of brain edema involves giving high potency steroids > Steroids increase blood glucose > He is on steroids.
Clue 2:
Hyperglycemia
Management of steroid induced diabetes
Glicazide or Insulin
n.b answer is not IV fluids because mild dehydration is corrected by the oral route in a patient who is able to drink.
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