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Exam questionKROK 2Medicine ยท 2018

A 72-year-old woman suffers from diabetes mellitus type II, concomitant diseases are stage II hypertension and stage IIB heart failure. She takes metformin. Hypertensic crisis had occurred the day before, after which the patient developed extreme weakness, myalgias, thirst, dry mouth, polyuria. BP is 140/95 mm Hg, heart rate is 98/min., no edemas or smell of acetone detected. What measures should be taken to prevent development of comatose state in the patient?

Answer options

  1. Double the dosage of metformin
  2. Apply hypotonic solution of sodium chloride
  3. Prescribe glibenclamide
  4. Additionally prescribe long-acting insulin
  5. Stop metformin, prescribe short-acting insulin
Correct answer

Stop metformin, prescribe short-acting insulin

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