DKA + HHS

Question 1

What is a major sign of DKA?

Answer 1

Acetone breath

Question 2

What are 6 causes of DKA + HHS?

Answer 2

1. Illness
2. Pregnancy
3. Hypothyroidism
4. CVD
5. Trauma
6. Stroke

Question 3

What is hyperglycemia caused by?

Answer 3

Impaired glucose transport

Question 4

What do you do first to optimally treat patients DKA?

Answer 4

Start IV fluids to fluid resuscitate

Question 5

What are the initial fluids that should be given?

Answer 5

Rapid, large-volume boluses

Question 6

What infusion rate for initial fluids typically appropriate for most adult patients?

Answer 6

1000 ml/hr x 2-4 doses

Question 7

What are used for maintenance fluids?

Answer 7

Balanced crystalloids

Question 8

What is the infusion rate for maintenance fluids?

Answer 8

150-200 ml/hr until blood glucose is 200-300

Question 9

Once blood glucose is controlled what should be added is the anion gap is not resolved?

Answer 9

Dextrose

Question 10

What are 4 fluids that can be used for DKA?

Answer 10

1. Normal saline
2. Plasmalyte
3. Lactated Ringets
4. 1/2 normal saline

Question 11

After starting fluid resuscitation, what is the next step to manage DKA?

Answer 11

Correct electrolyte abnormalities