A 4-year-old boy is brought to the emergency department with lethargy and diaphoresis after ingesting his grandmother's diabetes medication. Vital signs: BP 90/55, HR 128, RR 22, Temp 36.8°C, SpO2 98%. Fingerstick glucose is 32 mg/dL; serum insulin level is elevated at 45 mIU/L. He denies seizure activity. No evidence of ketoacidosis on initial assessment. Which of the following drugs can be used to reduce recurrent hypoglycemia from this overdose?
- A)Naloxone
- B)Methylene blue
- C)Atropine
- D)OctreotideGABARITO
- E)Fomepizole
Explicação
Sulfonylurea overdose can cause prolonged hypoglycemia by stimulating insulin release. Octreotide suppresses insulin secretion and is used with dextrose to prevent recurrent hypoglycemia. Ver explicação completa e trilha adaptativa →