Endocrine



DKA: 
1. Avoid NS
2. Use NaHCO3 to treat NAGMA : Predicted Final Bicarb Level = Na – Cl – 10
3. Avoid Intubation if possible 
4. Continue long acting basal insulin





MYASTHENIA GRAVIS 
-resistant to DNMB 2/2 receptors being inactivated (non-competitive like inhibition)
-sensitive to NDNMB 

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