Start practicing

Medical Emergencies · single question

Which is NOT appropriate management for a diabetic patient with an artificial heart valve before extraction?

  1. Confirm most recent A1C value
  2. Recommend regular breakfast and diabetic medication before appointment
  3. Use local anesthetic with vasoconstrictor not exceeding 0.04mg epinephrine
  4. Recommend supplemental dose of corticosteroids
  5. Confirm 2g amoxicillin was taken 1 hour prior
Show answer and explanation

Correct answer: D. Recommend supplemental dose of corticosteroids

Supplemental corticosteroids increase blood glucose and insulin resistance u2014 worsening diabetes control. This is CONTRAINDICATED in diabetic patients. The artificial heart valve requires antibiotic prophylaxis (amoxicillin). A1C check, regular insulin routine, and epinephrine limit of 0.04mg are all appropriate.

Practice Medical Emergencies questions Medical Emergencies study notes

More Medical Emergencies practice questions