#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

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2
Q

Lab Goals of DKA with admission: (3)

A

bicarbonate >/= 18
venous pH >7.3
glucose <200 mg/dL

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3
Q

DKA priorities: (3)

A

1- IVF
2- Correct K+ derangements (<3.3 then NO insulin)
3- insulin

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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
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5
Q

Osmolarity levels >______ result in cognitive impairment lethargy & coma

A

320 mOsm/kg

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