#5: endocrine emergencies Flashcards
1
Q
Typical DKA Labs: (4)
A
pH <7.3 w. moderate ketonemia constitute the DX
>12 mEq/L anion gap
<15 mEq/L bicarbonate
>250 mg/dL blood glucose
2
Q
Lab Goals of DKA with admission: (3)
A
bicarbonate >/= 18
venous pH >7.3
glucose <200 mg/dL
3
Q
DKA priorities: (3)
A
1- IVF
2- Correct K+ derangements (<3.3 then NO insulin)
3- insulin
4
Q
HHS Labs: (5)
A
- serum GLU >600 mg/dL
- arterial pH >7.3
- elevated calculated plasma osmolality of 315 mOsm/kg
- serum bicarbonate >15 mEq/L
- serum ketones are negative
5
Q
Osmolarity levels >______ result in cognitive impairment lethargy & coma
A
320 mOsm/kg