CPG - A0713 - Hyperglycaemia

Question 1

What are the S&S of DKA?

Answer 1

any patient with:

• pre-existing history of diabetes
• BGL >11 and
• clinical features of DKA
• > confusion, signs of dehydration, Kussmaul’s breathing

Question 2

What are the S&S of Hyperosmolar hyperglycaemic state (HHS)?

Answer 2

• typically older pt’s
• Have high BGL >30
• do not present with features of DKA such as kussmauls breathing

Question 3

What are the clinical features of DKA/HSS?

Answer 3

• dehydration
• tachypnoea
• Polydipsia
• Polyphagia
• Polyuria
• Kussmauls breathing
• Hx diabetes

Question 4

What is the treatment for a pt with BGL >11?

Answer 4

Normal saline 20ml/kg titrated to perfusion status

• > consult if further doses required
• consider reduced volume for old or pts with renal failure
• consider antiemeteic