16 - Acute Complications of DM Flashcards
1
Q
DKA occurs when what happens in the diabetic pt?
A
there is an absolute insulin deficiency stimulating ketone production
2
Q
sx of DKA
A
N/V
polyuria/polydipsia
abd pain
mental changes - become increasingly obtunded
3
Q
how to calc corrected serum Na in DKA pts
A
Na + 1.6 * (gluc-100)/100
4
Q
tx of DKA
A
isotonic fluid to restore volume
insulin to stop ketone production and lower glucose
potassium
5
Q
main problem behind hyperosmolar hyperglycemic nonketotic state
A
volume depletion / hyperosmolarity
